Active NPI
Heidi Ann Reiling, O.D.
- Optometrist
- Overland Park, KS
National Provider Identifier
1699874693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- KS 1441
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T03193 | Other | MO | MISSOURI LICENSE |
| KS 1441 | Other | KS | KANSAS 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
Enrollment records 1
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
Practice addresses (Care Compare)
12621 Antioch Rd
Overland Park, KS 66213-1701
Phone (913) 814-7707
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KS 1441 | KS | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Valley Eyecare, LLC | Optometrist | Current | 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.
-
- Optometrist
- Overland Park, KS
- NPI 1245366939
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.