Reese Eye Care Specialists, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

REESE EYE CARE SPECIALISTS, LLC

Doing business as

Premier Vision

Practice address

1180 Village Ridge PT
Monument, CO 80132-8992

Phone

(719) 488-9595

Fax

(719) 488-8383

NPI assigned

Oct 10, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Timothy M Reese, ODNPI 1346232253

Title

Physician Owner

Phone

(719) 488-9595

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Premier Vision Doing business as

Medicare fee-for-service enrollment

Enrolled in CO2 enrollments

Enrollment records 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Michael Reese, O.D.

  • Optometrist
  • Monument, CO
  • NPI 1346232253
  Medicare reassignment NPD Authorized official
• William Richard Hallmark, O.D.

  • Optometrist
  • Monument, CO
  • NPI 1699824961
  NPD

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539129600000",
    "number": "1821563396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 VILLAGE RIDGE PT",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328992",
            "telephone_number": "719-488-9595",
            "fax_number": "719-488-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 VILLAGE RIDGE PT",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328992",
            "telephone_number": "719-488-9595",
            "fax_number": "719-488-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REESE EYE CARE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "719-488-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080016255",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lester M Puretz, DO
• Wendy Lynn Quinn, RNC,MSN
• Lindsey Ragsdale
• Jordan Ramos
• Ramscorp Corporation
• Timothy Michael Reese, O.D.
• Remedy Speech LLC
• Elli Rose Rettinger
• Carmen Alicia Reyes
• Madison Reyes

• Optometrist in Monument, CO
• Providers in Monument, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.