Kirsten Klauss Reynolds, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-008430 Issued in IL

Practice address

22 N Jackson St
Belleville, IL 62220-1425

Phone

(618) 233-1270

Fax

(618) 233-5939

NPI assigned

Jul 5, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

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

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cheyenne Vision Clinic PCGroup PAC ID 8820071251, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cheyenne Vision Clinic P.C.

  • Optometrist
  • Cheyenne, WY
  • NPI 1942365119
  Medicare reassignment Care Compare group NPD
• Cheyenne Vision Clinic P.C.

  • Optometrist
  • Laramie, WY
  • NPI 1558615179
  NPD

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1982601001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 N JACKSON ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201425",
            "telephone_number": "618-233-1270",
            "fax_number": "618-233-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 N JACKSON ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201425",
            "telephone_number": "618-233-1270",
            "fax_number": "618-233-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "KIRSTEN",
        "middle_name": "KLAUSS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "211358",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dimi Dawn Resch, NP
• Rest Assured Medical Transport, LLC
• Retina Group Limited PC
• Nicolle D Retzlaff, OT
• Jessica A Reuss, APRN, FNP-C
• Kyle Robert Reynolds, CNA
• Vincent Rhodes
• Kristin Elizabeth Rice, RN, BSN
• Haley Riechmann
• Kaylie Lou Riley

• Optometrist in Belleville, IL
• Providers in Belleville, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.
• Medicare Care Compare (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.