Individual provider Active NPI

Maggie Renee Veigl Reyes, OD

  • Optometrist
  • Wichita Falls, TX
National Provider Identifier
1629761358
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10900 Issued in TX
Practice address
4206 Kemp Blvd Ste B
Wichita Falls, TX 76308-2846
Phone
(940) 696-2653
Fax
(940) 696-2685
NPI assigned
May 30, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10900 TX Primary

Addresses

Primary practice location

4206 Kemp Blvd Ste B
Wichita Falls, TX 76308-2846

Mailing address

4206 Kemp Blvd Ste B
Wichita Falls, TX 76308-2846
Phone (940) 696-2653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231011003256 TX Practitioner - Optometry 3375998396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wichita Eyecare, P.a.Group PAC ID 4688737695, 3 clinicians

Practice addresses (Care Compare)

4206 Kemp Blvd
Suite B
Wichita Falls, TX 76308-2846
Phone (940) 696-2653

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
72.51
Promoting interoperability
100
Improvement activities
40
Cost
65.28

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10900TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Eyecare, P.a. Optometrist CurrentSince Oct 19, 2024 Accepting new patients
Tom F. Sheriff, P.a. Optometrist PastSince Oct 19, 2024 Accepting new patients

Locations

4206 Kemp Blvd
Ste B
Wichita Falls, TX 76308
Phone (940) 696-2653

Interoperability endpoints

  • Direct secure messaging: maggieveigl@cntllp.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1629761358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 KEMP BLVD STE B",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082846",
            "telephone_number": "940-696-2653",
            "fax_number": "940-696-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 KEMP BLVD STE B",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082846",
            "telephone_number": "940-696-2653",
            "fax_number": "940-696-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "MAGGIE",
        "middle_name": "RENEE VEIGL",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.