Active NPI
Tina Reeves, OD
- Optometrist
- Rochester, NY
National Provider Identifier
1902886948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- UVT005332
- Practice address
- 17 State St
Powers Building Atrium
Rochester, NY 14614-1302 - Phone
- (585) 797-0601
- Fax
- (585) 340-7950
- NPI assigned
- Jan 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | UVT005332 | NY | |
| Optometrist | 152W00000X | UVT005332 | NY | Primary |
Addresses
Primary practice location
17 State St
Powers Building Atrium
Rochester, NY 14614-1302
Mailing address
17 State St
Powers Building Atrium
Rochester, NY 14614-1302
Phone (585) 797-0601
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P010005332 | Other | NY | BCBS OF ROCHESTER AREA |
| 5773707 | Other | NY | AETNA |
| 101998CS | Other | NY | PREFERRED CARE |
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 |
|---|---|---|---|---|
| I20110223000216 | NY | Practitioner - Optometry | 7810178928 | Practice locations: Rochester, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UVT005332 | NY | MD | Eyewear Supplier |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587081600000",
"number": "1902886948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 STATE ST",
"address_2": "POWERS BUILDING ATRIUM",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146141302",
"telephone_number": "585-797-0601",
"fax_number": "585-797-0603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 STATE ST",
"address_2": "POWERS BUILDING ATRIUM",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146141302",
"telephone_number": "585-797-0601",
"fax_number": "585-340-7950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEVES",
"first_name": "TINA",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-17",
"last_updated": "2020-04-17",
"certification_date": "2020-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NY",
"license": "UVT005332",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "UVT005332",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ROCHESTER AREA",
"identifier": "P010005332",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5773707",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "101998CS",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.