Individual provider Active NPI

Emily Elaine Reynolds, OD

  • Optometrist
  • Kent, OH
National Provider Identifier
1841728359
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
006576 Issued in OH
Practice address
2013 State Route 59
Kent, OH 44240-4113
Phone
(330) 678-0201
NPI assigned
May 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 006576 OH Primary

Addresses

Primary practice location

2013 State Route 59
Kent, OH 44240-4113

Mailing address

6880 W Snowville Rd Ste 215
Brecksville, OH 44141-3254
Phone (440) 656-5050

Other identifiers 1

IdentifierTypeStateIssuer
1841728359OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20211021001950 OH Practitioner - Optometry 6002204179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Ohio Eye Surgeons IncGroup PAC ID 3577537042, 32 clinicians

Practice addresses (Care Compare)

2013 State Route 59
Kent, OH 44240-4113
Phone (330) 678-0201

6407 Frank Ave NW
North Canton, OH 44720-7263
Phone (330) 678-0201

800 McKinley Ave NW
Canton, OH 44703-2463
Phone (330) 452-8884

Merit-based Incentive Payment System (MIPS)

Final score
85.48 of 100Reported as group
Quality
77.53
Promoting interoperability
96
Improvement activities
40
Cost
77.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Ohio Eye Surgeons, Inc. Optometrist CurrentSince Sep 1, 2021 Accepting new patients
Northeast Ohio Eye Surgeons, Inc. Optometrist CurrentSince Sep 1, 2021 Accepting new patients
Northeast Ohio Eye Surgeons, Inc. Optometrist Current Accepting new patients
Northern Ohio Eye Consultants Inc Past Accepting new patients

Locations

4099 Embassy Pkwy
Akron, OH 44333
Phone (330) 835-1844

6880 W Snowville Rd
Ste 215
Brecksville, OH 44141
Phone (440) 526-1974

800 McKinley Ave NW
Canton, OH 44703
Phone (330) 452-8884

2013 State Route 59
Kent, OH 44240
Phone (330) 434-1185

6407 Frank Ave NW
North Canton, OH 44720
Phone (330) 966-1111

4277 Allen Rd
Stow, OH 44224
Phone (330) 928-0201

2660 E Market St
Warren, OH 44483
Phone (330) 393-4000

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": "1495929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1841728359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6880 W SNOWVILLE RD STE 215",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413254",
            "telephone_number": "440-656-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 STATE ROUTE 59",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404113",
            "telephone_number": "330-678-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "EMILY",
        "middle_name": "ELAINE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-28",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "006576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841728359",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, OH

Sources for this page

Verify at the official NPI Registry.