Active NPI
David Reyes, OD
- Optometrist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T0052871
- Practice address
- 1354 Pennsylvania Ave
Brooklyn, NY 11239-2111 - Phone
- (718) 642-3526
- Fax
- (718) 642-3496
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T0052871 | NY | Primary |
Addresses
Primary practice location
1354 Pennsylvania Ave
Brooklyn, NY 11239-2111
Mailing address
18012 Union Tpke
Fresh Meadows, NY 11366-1620
Phone (718) 380-5353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01321342 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 1991
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1354 PA Ave
Brooklyn, NY 11239-2111
Phone (718) 642-3526
2084 Linden Blvd
Brooklyn, NY 11207-7412
Phone (718) 272-3700
589 Sutter Ave
Brooklyn, NY 11207-4002
Phone (347) 627-7896
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0052871 | NY | MD | Optometrist |
| 005287 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 589 Nyc Optical LLC | Optometrist | Current | Accepting new patients |
| Linden Eye Care Inc | Optometrist | Current | Accepting new patients |
| 1354 Nyc Optical LLC | Optometrist | Current | Accepting new patients |
| Nyc Optical Group LLC | Optometrist | Current | Accepting new patients |
| Linden Eye Care, Inc | Optometrist | Current | Accepting new patients |
| Shades of Nostrand Inc. | Past | Accepting new patients |
Locations
811 Southern Blvd
Bronx, NY 10459
Phone (347) 326-8999
625 E Fordham Rd
Bronx, NY 10458
Phone (718) 409-3433
589 Sutter Ave
Brooklyn, NY 11207
Phone (347) 627-7896
5623 5th Ave
Brooklyn, NY 11220
Phone (718) 635-9333
2084 Linden Blvd
Brooklyn, NY 11207
Phone (718) 272-3700
482 86th St
Brooklyn, NY 11209
Phone (718) 879-8182
1354 Pennsylvania Ave
Brooklyn, NY 11239
Phone (718) 642-3526
Organizations & group practices 6
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.
-
- Optometrist
- Brooklyn, NY
- NPI 1427785930
-
- Optometrist
- Brooklyn, NY
- NPI 1669109203
-
- Optometrist
- Brooklyn, NY
- NPI 1932582897
-
- Optometrist
- Bronx, NY
- NPI 1659268373
-
- Optometrist
- Rego Park, NY
- NPI 1245198969
-
- Optician
- Brooklyn, NY
- NPI 1629192331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566518400000",
"number": "1659495372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18012 UNION TPKE",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113661620",
"telephone_number": "718-380-5353",
"fax_number": "718-380-5396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1354 PENNSYLVANIA AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112392111",
"telephone_number": "718-642-3526",
"fax_number": "718-642-3496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2019-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "T0052871",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01321342",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.