Individual provider Active NPI

Guy M Reynoldson, O.D.

  • Optometrist
  • Junction City, KS
National Provider Identifier
1891726097
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1107-3 Issued in KS
Practice address
1208 W 8TH St
Junction City, KS 66441-2061
Phone
(785) 238-1104
Fax
(785) 238-2325
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1107-3 KS Primary

Addresses

Primary practice location

1208 W 8TH St
Junction City, KS 66441-2061

Mailing address

1208 W 8TH St
Junction City, KS 66441-2061
Phone (785) 238-1104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20041229000649 KS Practitioner - Optometry 1052379740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1208 W 8TH St
Dr. Guy Reynoldson
Junction City, KS 66441-2061
Phone (785) 238-1104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11072KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Reynoldson & Reynoldson Chrtd Optometrist CurrentSince Dec 28, 2004 Accepting new patients

Locations

1208 W 8th St
Junction City, KS 66441
Phone (785) 238-1104

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1891726097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 W 8TH ST",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664412061",
            "telephone_number": "785-238-1104",
            "fax_number": "785-238-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 W 8TH ST",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664412061",
            "telephone_number": "785-238-1104",
            "fax_number": "785-238-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDSON",
        "first_name": "GUY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1107-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Junction City, KS

Sources for this page

Verify at the official NPI Registry.