Active NPI
Inez M Reyna, O.D.
- Optometrist
- Plattsburgh, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 006878
- Practice address
- 450 Margaret St
Plattsburgh, NY 12901-1755 - Phone
- (518) 566-2020
- Fax
- (518) 561-5390
- NPI assigned
- Apr 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 006878 | NY | Primary |
Addresses
Primary practice location
450 Margaret St
Plattsburgh, NY 12901-1755
Mailing address
450 Margaret St
Plattsburgh, NY 12901-1755
Phone (518) 566-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02632213 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050325000274 | NY | Practitioner - Optometry | 2163478876 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3873 State Route 31
Suite 110
Liverpool, NY 13090-1489
Phone (315) 652-5962
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2997 | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empire Vision Center, Inc | Current | Accepting new patients | |
| M B Kayani Physician PC | Current | Accepting new patients | |
| M B Kayani Physician PC | Current | Accepting new patients | |
| Empire Vision Center Inc | Optometrist | Current | Accepting new patients |
Locations
2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241
77 W Barney St
Gouverneur, NY 13642
Phone (315) 287-1000
560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090
3873 State Route 31
Ste 110
Liverpool, NY 13090
Phone (315) 652-5961
7785 N State St
Lowville, NY 13367
Phone (315) 376-5102
420 Ford St
Ogdensburg, NY 13669
Phone (315) 393-7171
1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200
2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150
2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145
1815 State St
Watertown, NY 13601
Phone (315) 786-8064
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.
-
- Ophthalmology Physician
- Gouverneur, NY
- NPI 1801014394
-
- Eyewear Supplier
- Attleboro, MA
- NPI 1730635582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357603200000",
"number": "1891759387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 MARGARET ST",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129011755",
"telephone_number": "518-566-2020",
"fax_number": "518-561-5390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 MARGARET ST",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129011755",
"telephone_number": "518-566-2020",
"fax_number": "518-561-5390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNA",
"first_name": "INEZ",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-13",
"last_updated": "2013-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "006878",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02632213",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.