Individual provider Active NPI

Olivia Kate Reader, OD

  • Optometrist
  • Corinth, MS
National Provider Identifier
1700496940
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1009 Issued in MS
Practice address
1804 E Shiloh Rd
Corinth, MS 38834-3637
Phone
(662) 212-9001
NPI assigned
Aug 3, 2020
Last updated
Aug 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1009 MS Primary

Addresses

Primary practice location

1804 E Shiloh Rd
Corinth, MS 38834-3637

Mailing address

507 Franklin St
Corinth, MS 38834-4842
Phone (662) 415-0480

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
I20201106000034 MS Practitioner - Optometry 0244640035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garrett Eye Clinic PLLCGroup PAC ID 1355494675, 3 clinicians

Practice addresses (Care Compare)

2012 E Shiloh Rd
Corinth, MS 38834-3727
Phone (662) 212-9001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Garrett Eye Clinic PLLC CurrentSince Oct 19, 2020 Accepting new patients

Locations

1804 E Shiloh Rd
Corinth, MS 38834
Phone (662) 212-9001

2012 E Shiloh Rd
Corinth, MS 38834
Phone (662) 212-9001

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1700496940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 FRANKLIN ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388344842",
            "telephone_number": "662-415-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 E SHILOH RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388343637",
            "telephone_number": "662-212-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "READER",
        "first_name": "OLIVIA",
        "middle_name": "KATE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "1009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.