Fredrick P Reynolds, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000182 Issued in VA

Practice address

5076 S. Amherst Highway
Madison Heights, VA 24572

Phone

(434) 846-7822

Fax

(434) 846-8107

NPI assigned

Sep 15, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Madison Heights Eye Care PC Optometrists

  • Optometrist
  • Madison Heights, VA
  • NPI 1942385786
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1952407330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1000",
            "city": "MADISON HEIGHTS",
            "state": "VA",
            "postal_code": "24572",
            "telephone_number": "434-846-7822",
            "fax_number": "434-846-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5076 S. AMHERST HIGHWAY",
            "city": "MADISON HEIGHTS",
            "state": "VA",
            "postal_code": "24572",
            "telephone_number": "434-846-7822",
            "fax_number": "434-846-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "FREDRICK",
        "middle_name": "P",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Grayson Proctor
• Professional Therapies of Roanoke, Inc. (CORA Physical Therapy - Madison Heights)
• Katherine Pufko, PA
• Julie Rosete Rayos, MD
• Erin Nichole Reynolds, PHARMD
• Kathryn Anne Ridilla, PHARMD
• Kristy Renee Robinson-Lee, O.D.
• Bayleigh Carmichel Rogers, PT,DPT,CSCS
• Justin Johnson Royal
• Sarah Rudder

• Optometrist in Madison Heights, VA
• Providers in Madison Heights, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.