Martin Paul Reichenbecher, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA0613 Issued in MD

Practice address

1262 Vocke Rd
Ste. 100
Lavale, MD 21502-7720

Phone

(301) 729-6525

NPI assigned

May 9, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629282637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8192 NATIONAL PIKE",
            "city": "ADDISON",
            "state": "PA",
            "postal_code": "154112104",
            "telephone_number": "814-395-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 VOCKE RD",
            "address_2": "STE. 100",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027720",
            "telephone_number": "301-729-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHENBECHER",
        "first_name": "MARTIN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0613",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "0E004573-T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisa Catherine Platt, ADT3590
• Mallory Nicole Powell, AUD
• Winona R Powers
• Barbara Pyle, CRNP
• Erin Marie Reed, AUD
• Bethany Rhodes, LPN
• Karen Marie Rhodes, LPN
• Mary Ann Riley, D.O.
• Haley Hixon Rodeheaver, AUD
• Diana Roderick

• Optometrist in Lavale, MD
• Providers in Lavale, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.