Individual provider Active NPI

Kennedy Reed, OD

  • Optometrist
  • Muncie, IN
National Provider Identifier
1801534268
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004384A Issued in IN
Practice address
5091 W Bethel Ave Ste 150
Muncie, IN 47304-8511
Phone
(765) 286-8888
Fax
(765) 747-7962
NPI assigned
May 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004384A IN Primary
Optometrist 152W00000X OPT.007056 OH

Addresses

Primary practice location

5091 W Bethel Ave Ste 150
Muncie, IN 47304-8511

Mailing address

9202 N Meridian St
Indianapolis, IN 46260-1800
Phone (317) 841-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20230905003382 IN Practitioner - Optometry 5799148912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evans Eye Care IncGroup PAC ID 9830169234, 33 clinicians

Practice addresses (Care Compare)

1221 S Creasy LN
Suite a
Lafayette, IN 47905-7430
Phone (765) 447-4951

Hospital & facility affiliations

  • Reid Health Hospital, Richmond, IN, CCN 150048

Merit-based Incentive Payment System (MIPS)

Final score
89.62 of 100Reported as group
Quality
87.79
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.007056OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Evans Eye Care Inc Optometrist CurrentSince Jun 16, 2025 Accepting new patients
DRS Logan & Bailey Optometrists Inc Optometrist CurrentSince Jun 16, 2025 Accepting new patients
Duane a Gillam Optometrist Past Accepting new patients

Locations

1221 S Creasy Ln
Ste A
Lafayette, IN 47905
Phone (765) 447-4951

3526 Osborne Ln
Lafayette, IN 47909
Phone (765) 447-4951

2517 E Main St
Richmond, IN 47374
Phone (765) 966-2661

Interoperability endpoints

  • Direct secure messaging: kreed@esi.intellechartdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1801534268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9202 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601800",
            "telephone_number": "317-841-2020",
            "fax_number": "317-570-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5091 W BETHEL AVE STE 150",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473048511",
            "telephone_number": "765-286-8888",
            "fax_number": "765-747-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "KENNEDY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004384A",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007056",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.