William Roy Reynolds, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1291 Issued in SC

Practice address

5166 Sunset Blvd
Suite J
Lexington, SC 29072-9258

Phone

(803) 996-2020

Fax

(803) 808-2917

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Pacific Medical College, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Envision Family Eyecare,LLC

  • Optometrist
  • Lexington, SC
  • NPI 1811156359
  Medicare reassignment Authorized official
• East Coast Optometric, Inc

  • Optometrist
  • Columbia, SC
  • NPI 1790862597
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1821187063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5166 SUNSET BLVD",
            "address_2": "SUITE J",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729258",
            "telephone_number": "803-996-2020",
            "fax_number": "803-808-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5166 SUNSET BLVD",
            "address_2": "SUITE J",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729258",
            "telephone_number": "803-996-2020",
            "fax_number": "803-808-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "WILLIAM",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D12918",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andey Nicole Reynolds
• Daniel Gregory Reynolds, PT
• Dwight Raymond Reynolds, MD
• Natalie Reynolds, PHARMD
• Wade D Reynolds, D.O.
• Bishoi Rezk
• Sarah Jane Rhoden, BA
• Kamrie Rich
• Alysha Richardson, MSW, LCSW, LISW-CP
• James Huger Richardson, MD

• Optometrist in Lexington, SC
• Providers in Lexington, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.