Individual provider Active NPI

John Michael Reed, O.D.

  • Optometrist
  • Magee, MS
National Provider Identifier
1649423211
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
794 Issued in MS
Practice address
450 5TH Ave SW
Magee, MS 39111-3960
Phone
(601) 849-5004
Fax
(601) 849-2801
NPI assigned
Oct 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Vision Optometrist 152WS0006X 794 MS
Optometrist 152W00000X 794 MS Primary

Addresses

Primary practice location

450 5TH Ave SW
Magee, MS 39111-3960

Mailing address

450 5TH Ave SW
P.O. Box 962
Magee, MS 39111-3960
Phone (601) 849-5004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20091027000712 MS Practitioner - Optometry 9739226507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Vision Clinic, IncGroup PAC ID 6406938802, 4 clinicians

Practice addresses (Care Compare)

450 5TH Ave SW
Magee, MS 39111-3960
Phone (601) 849-5004

Merit-based Incentive Payment System (MIPS)

Final score
27.63 of 100Reported as individual
Quality
45.58
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
794MSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Vision Clinic, Inc. Optometrist CurrentSince Nov 21, 2010 Accepting new patients
Advanced Vision Center PLLC Optometrist Past Accepting new patients

Locations

450 5th Ave SW
Magee, MS 39111
Phone (601) 649-2450

Interoperability endpoints

  • Direct secure messaging: michaelreed@familyvisionclinic.eyefinity-direct.com

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": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1649423211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 5TH AVE SW",
            "address_2": "P.O. BOX 962",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391113960",
            "telephone_number": "601-849-5004",
            "fax_number": "601-849-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 5TH AVE SW",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391113960",
            "telephone_number": "601-849-5004",
            "fax_number": "601-849-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "MS",
            "license": "794",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magee, MS

Sources for this page

Verify at the official NPI Registry.