Individual provider Active NPI

Mackenzie Ann Reed, OD

  • Optometrist
  • Oriskany, NY
National Provider Identifier
1720837818
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009993 Issued in NY
Practice address
PO Box 621
Oriskany, NY 13424-0621
Phone
(315) 240-9366
NPI assigned
May 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009993 NY Primary

Addresses

Primary practice location

PO Box 621
Oriskany, NY 13424-0621

Mailing address

PO Box 621
Oriskany, NY 13424-0621
Phone (315) 240-9366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250623000165 NY Practitioner - Optometry 0941712418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Costello Eye Physicians and Surgeons PLLCGroup PAC ID 8628074937, 11 clinicians

Practice addresses (Care Compare)

131 Main St
Oneida, NY 13421-1645
Phone (315) 363-1110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009993NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Costello Eye Physicians & Surgeons, PLLC Optometrist CurrentSince Jul 28, 2025 Accepting new patients

Locations

2730 State Route 12B
Hamilton, NY 13346
Phone (315) 797-8330

131 Main St
Oneida, NY 13421
Phone (315) 366-0360

131 Main St
Ste 201
Oneida, NY 13421
Phone (315) 363-1110

255 Avery Ln
Rome, NY 13441
Phone (315) 336-6633

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_CEP
  • Direct secure messaging: mreed@ceps2056.srs-direct.com

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": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1720837818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 621",
            "city": "ORISKANY",
            "state": "NY",
            "postal_code": "134240621",
            "telephone_number": "315-240-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 621",
            "city": "ORISKANY",
            "state": "NY",
            "postal_code": "134240621",
            "telephone_number": "315-240-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "MACKENZIE",
        "middle_name": "ANN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oriskany, NY

Sources for this page

Verify at the official NPI Registry.