Individual provider Active NPI

James William Reed, O.D.

  • Optometrist
  • Mesa, AZ
National Provider Identifier
1740624410
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AZ1900 Issued in AZ
Practice address
1356 S Gilbert Rd
Suite # 3
Mesa, AZ 85204-6077
Phone
(602) 214-3945
NPI assigned
Apr 24, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X AZ1900 AZ Primary

Addresses

Primary practice location

1356 S Gilbert Rd
Suite # 3
Mesa, AZ 85204-6077

Mailing address

1356 S Gilbert Rd
Suite # 3
Mesa, AZ 85204-6077
Phone (602) 214-3945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20130613000758 AZ Practitioner - Optometry 2961641428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1356 S Gilbert Rd
Suite 3
Mesa, AZ 85204-6077
Phone (480) 545-9120

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1900AZMDPsychologist
AZ1900AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
James W Reed OD PLLC CurrentSince Oct 10, 2015 Accepting new patients
Nationwide Optometry P.C. Optometrist Past Accepting new patients

Locations

1356 S Gilbert Rd
Ste 3
Mesa, AZ 85204
Phone (480) 545-8985

Organizations & group practices 2

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": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1740624410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 S GILBERT RD",
            "address_2": "SUITE # 3",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046077",
            "telephone_number": "602-214-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 S GILBERT RD",
            "address_2": "SUITE # 3",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046077",
            "telephone_number": "602-214-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "JAMES",
        "middle_name": "WILLIAM",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-24",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "AZ1900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.