Active NPI
Thomas K. Reid, M.D., Prof. Corp.
- Ophthalmology Physician
- Bishop, CA
National Provider Identifier
1700895430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A54353
- Legal business name
- THOMAS K. REID, M.D., PROF. CORP.
- Practice address
- 157 Pioneer LN
Bishop, CA 93514-2557 - Phone
- (760) 873-8686
- Fax
- (873) 873-5507
- NPI assigned
- Aug 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Michelle Leigh Reid
- Title
- Billing Manager
- Phone
- (760) 873-8686
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A54353 | CA | Primary |
Addresses
Primary practice location
157 Pioneer LN
Bishop, CA 93514-2557
Mailing address
157 Pioneer LN
Bishop, CA 93514-2557
Phone (760) 873-8686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A543530 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
157 Pioneer Ln
Bishop, CA 93514
Phone (760) 872-1606
214 W Line St
Ste C
Bishop, CA 93514
Phone (619) 873-8686
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Bishop, CA
- NPI 1871530907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1390867200000",
"number": "1700895430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 PIONEER LN",
"city": "BISHOP",
"state": "CA",
"postal_code": "935142557",
"telephone_number": "760-873-8686",
"fax_number": "873-873-5507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 PIONEER LN",
"city": "BISHOP",
"state": "CA",
"postal_code": "935142557",
"telephone_number": "760-873-8686",
"fax_number": "873-873-5507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS K. REID, M.D., PROF. CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2014-01-28",
"status": "A",
"authorized_official_last_name": "REID",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "LEIGH",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "760-873-8686",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "CA",
"license": "A54353",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A543530",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bishop, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.