Richard Stephen Reagin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1149T Issued in GA

Practice address

104 Church St
Decatur, GA 30030-3325

Phone

(404) 378-3694

Fax

(404) 373-0741

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Optometry

Education

Southern College of Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1679653174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CHURCH ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303325",
            "telephone_number": "404-378-3694",
            "fax_number": "404-373-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CHURCH ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303325",
            "telephone_number": "404-378-3694",
            "fax_number": "404-373-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAGIN",
        "first_name": "RICHARD",
        "middle_name": "STEPHEN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1149T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000368002B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Raymond
• RC Cancer Centers - Decatur
• Reaching Hands Atlanta LLC
• Reagin Decatur Group, LLC
• Reagin Optometric Group, P.a.
• Thomas Gaby Reagin, O.D.
• Real Talk Let'Stalk Counseling, Consulting, and Coaching
• Realize Life Coaching, LLC
• Cheryl Rease
• Katharine Perry Rebillot, PA-C

• Optometrist in Decatur, GA
• Providers in Decatur, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.

Verify at the official NPI Registry.