Individual provider Active NPI

Amy Merenstein Reese, O.D.

  • Optometrist
  • Coral Springs, FL
National Provider Identifier
1952563074
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2946 Issued in FL
Practice address
950 N University Dr
Coral Springs, FL 33071-7029
Phone
(954) 587-2546
Fax
(954) 345-8981
NPI assigned
Jun 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2946 FL Primary

Addresses

Primary practice location

950 N University Dr
Coral Springs, FL 33071-7029

Mailing address

10784 Richmond PL
Hollywood, FL 33026-4913
Phone (954) 430-0877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230612003340 FL Practitioner - Optometry 1850758459 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mark a. Gendal, O.D., P.a. Optometrist CurrentSince Apr 13, 2023 Accepting new patients
Amy Reese OD PA Optometrist Past Accepting new patients

Locations

2059 N University Dr
Coral Springs, FL 33071
Phone (954) 752-0589

Organizations & group practices 2

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1952563074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10784 RICHMOND PL",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330264913",
            "telephone_number": "954-430-0877",
            "fax_number": "954-989-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717029",
            "telephone_number": "954-587-2546",
            "fax_number": "954-345-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "AMY",
        "middle_name": "MERENSTEIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.