Individual provider Active NPI

John E Reeves, OD

  • Optometrist
  • Great Falls, MT
National Provider Identifier
1801867544
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
788 Issued in MT
Practice address
1211 5TH St S
Great Falls, MT 59405-4304
Phone
(406) 761-6841
Fax
(406) 454-0609
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 788 MT Primary

Addresses

Primary practice location

1211 5TH St S
Great Falls, MT 59405-4304

Mailing address

1211 5TH St S
Great Falls, MT 59405
Phone (406) 761-6841

Other identifiers 1

IdentifierTypeStateIssuer
003250004OtherORREGENCE BLUE CROSS BLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20070911000160 MT Practitioner - Optometry 8729072236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1211 5TH St S
Great Falls, MT 59405-4304
Phone (406) 761-6841

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
788MTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gresham Vision Source PC Optometrist PastSince Jul 1, 2006 Accepting new patients
Hawthorne Vision Center PC Optometrist PastSince Jan 1, 2000 Accepting new patients
Uptown Eyecare & Optical, P.C. Optometrist PastSince May 1, 2008 Accepting new patients

Organizations & group practices 4

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1801867544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 5TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "59405",
            "telephone_number": "406-761-6841",
            "fax_number": "406-454-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 5TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054304",
            "telephone_number": "406-761-6841",
            "fax_number": "406-454-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "JOHN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE CROSS BLUE",
            "identifier": "003250004",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.