Marc Allen Reyes, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618003276 Issued in VA

Practice address

650 Cedar Creek Grade Ste 114
Winchester, VA 22601-6453

Phone

(540) 662-0222

NPI assigned

Jun 6, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. David a. Tufts O D PLLCGroup PAC ID 4284704826, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr David a Tufts O D PLLC

  dba Cedar Creek EyeCare, Doctors of Optometry

  • Optometrist
  • Winchester, VA
  • NPI 1477741072
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1780378430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 CEDAR CREEK GRADE STE 114",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016453",
            "telephone_number": "540-662-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CEDAR CREEK GRADE STE 114",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016453",
            "telephone_number": "540-662-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "MARC",
        "middle_name": "ALLEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003276",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Restrepo
• Nicolas Cipriano Restrepo, M.D.
• Retina & Vitreous Consultants of Virginia, PC
• Retina Associates, PC
• Frank H Reuling Jr., M.D.
• Marga Elizabeth Reynolds, OT/L
• Sarah Reynolds, M.ED., BCBA, LBA
• James Rhodes, RPH
• Joel A Rhodes, CRNA
• Mary Maynadier Rhodes, MD

• Optometrist in Winchester, VA
• Providers in Winchester, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.

Verify at the official NPI Registry.