Renee B Reis, O.D. – Optometrist

Key facts

NPI: 1922095462
Entity type: Individual (NPI type 1)
Primary specialty: Optometrist 152W00000X
License: 3805 (MA)
Practice address: 51 State Rd
North Dartmouth, MA 02747-3319
Phone: (508) 994-1400
Fax: (508) 910-2204
NPI assigned: Sep 30, 2005
Sex: Female
Sole proprietor: No

Organizations & group practices 3

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.

Eye Health Associates Inc Ophthalmology Physician · Dartmouth, MA · NPI 1952653131

Medicare reassignment Care Compare group NPD MA · OPTOMETRIST
Eye Health Associates Inc Eyewear Supplier · Fairhaven, MA · NPI 1699029892

NPD
Eye Health Associates SPN LLC Ophthalmology Physician · Dartmouth, MA · NPI 1225444979

NPD (past)

Medicare Care Compare profile

Specialty: Optometry
Education: New England College of Optometry, 1993
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Eye Health Associates Inc (26 clinicians)

Practice addresses (Care Compare)

51 State Rd
Dartmouth, MA 02747-3319
Phone 77432030404215

Merit-based Incentive Payment System (MIPS)

Final score: 75 of 100 (group)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20091125000145	MA	Practitioner - Optometry	6709925142	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
3805	MA	MD	Chiropractor

Practice roles

Organization	Specialty	Status	New patients
Eye Health Associates Inc	Optometrist	Current since Dec 1, 2012	Accepting new patients
Eye Health Associates Inc		Current since Dec 1, 2012	Accepting new patients
Eye Health Associates SPN LLC		Past	Accepting new patients

Locations

933 Pleasant St
Fall River, MA 02723
Phone (508) 673-2020

51 State Rd
North Dartmouth, MA 02747
Phone (508) 994-1400

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Optometrist	152W00000X	3805	MA	Yes

Addresses

Primary practice location

51 State Rd
North Dartmouth, MA 02747-3319

Mailing address

51 State Rd
Dartmouth, MA 02747-3319
Phone (508) 994-1400

Other identifiers

Identifier	Type	State	Issuer
110019844A	Medicaid	MA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 21, 2022.

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1922095462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 STATE RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027473319",
            "telephone_number": "508-994-1400",
            "fax_number": "508-910-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 STATE RD",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027473319",
            "telephone_number": "508-994-1400",
            "fax_number": "508-910-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIS",
        "first_name": "RENEE",
        "middle_name": "B",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110019844A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Dartmouth, MA

All providers in North Dartmouth, MA · Optometrist in Massachusetts

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.