Daniel James Reedy, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

01629 Issued in IA

Practice address

2217 Main St
Box 329
Emmetsburg, IA 50536-2446

Phone

(712) 852-2979

Fax

(712) 852-2024

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Thomas Reedy, O.D.

  • Optometrist
  • Emmetsburg, IA
  • NPI 1144570292
  Medicare reassignment

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.

• Emmetsburg Eye Clinic

  • Optometrist
  • Emmetsburg, IA
  • NPI 1063059186
  Medicare reassignment NPD Authorized official
• Donald J Kingfield

  • Eyewear Supplier
  • Algona, IA
  • NPI 1306023551
  NPD (past)
• Wolfe Clinic Inc

  • Ophthalmology Physician
  • Marshalltown, IA
  • NPI 1477532174

  Corneal and Contact Management

  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384128000000",
    "number": "1912017963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 MAIN ST",
            "address_2": "BOX 329",
            "city": "EMMETSBURG",
            "state": "IA",
            "postal_code": "505362446",
            "telephone_number": "712-852-2979",
            "fax_number": "712-852-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 MAIN ST",
            "address_2": "BOX 329",
            "city": "EMMETSBURG",
            "state": "IA",
            "postal_code": "505362446",
            "telephone_number": "712-852-2979",
            "fax_number": "712-852-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDY",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "01629",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IA",
            "license": "01629",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "IA",
            "license": "01629",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "IA",
            "license": "01629",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "12959",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0129593",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Michael Patton, M.D
• Blake Pedersen
• Sandra K Pelzer, LISW
• E Devona Perkins, TLMHC
• Carol Pierce, ARNP
• Ryan Thomas Reedy, O.D.
• Amanda Minn Richard, ARNP
• Hannah Kathryn Sadler, DPT
• Markie Lynn Sargent, ARNP
• Shawn Matthew Schany

• Optometrist in Emmetsburg, IA
• Providers in Emmetsburg, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.