Individual provider Active NPI

Heidi Ann Reiling, O.D.

  • Optometrist
  • Overland Park, KS
National Provider Identifier
1699874693
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
KS 1441 Issued in KS
Practice address
12621 Antioch Rd
Overland Park, KS 66213-1701
Phone
(913) 814-7707
Fax
(913) 814-7997
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X KS 1441 KS Primary

Addresses

Primary practice location

12621 Antioch Rd
Overland Park, KS 66213-1701

Mailing address

12621 Antioch Rd
Overland Park, KS 66213-1701
Phone (913) 814-7707

Other identifiers 2

IdentifierTypeStateIssuer
T03193OtherMOMISSOURI LICENSE
KS 1441OtherKSKANSAS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20100910000962 KS Practitioner - Optometry 2668597857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Valley Eyecare, LLCGroup PAC ID 4981729175, 3 clinicians

Practice addresses (Care Compare)

12621 Antioch Rd
Overland Park, KS 66213-1701
Phone (913) 814-7707

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KS 1441KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Valley Eyecare, LLC Optometrist CurrentSince Jul 1, 1999 Accepting new patients

Locations

12621 Antioch Rd
Overland Park, KS 66213
Phone (913) 814-7707

Organizations & group practices 1

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1699874693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12621 ANTIOCH RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131701",
            "telephone_number": "913-814-7707",
            "fax_number": "913-814-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12621 ANTIOCH RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131701",
            "telephone_number": "913-814-7707",
            "fax_number": "913-814-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILING",
        "first_name": "HEIDI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "KS 1441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI LICENSE",
            "identifier": "T03193",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS LICENSE",
            "identifier": "KS 1441",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.