Individual provider Active NPI

Inez M Reyna, O.D.

  • Optometrist
  • Plattsburgh, NY
National Provider Identifier
1891759387
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
006878 Issued in NY
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

Updated by the provider on Jan 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02632213MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Empire Vision Center Inc.Group PAC ID 4688573876, 7 clinicians

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

LicenseStateTypeSpecialty
2997MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Vision Center, Inc CurrentSince Sep 19, 2019 Accepting new patients
M B Kayani Physician PC CurrentSince Jul 24, 2017 Accepting new patients
M B Kayani Physician PC CurrentSince Jul 24, 2017 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Sep 19, 2019 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.

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

Verify at the official NPI Registry.