Kevin Matthew Reeder, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

9076T Issued in CA

Practice address

9320 Carmel Mountain Rd
Ste E
San Diego, CA 92129-2159

Phone

(858) 484-1500

Fax

(858) 484-8416

NPI assigned

May 25, 2006

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

Enrolled in CA

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

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.

• Carmel Mountain Vision Care Optometry, Inc

  • Optometrist
  • San Diego, CA
  • NPI 1922103688
  Medicare reassignment NPD

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1982650867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 CARMEL MOUNTAIN RD",
            "address_2": "STE E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292159",
            "telephone_number": "858-484-1500",
            "fax_number": "858-484-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 CARMEL MOUNTAIN RD",
            "address_2": "STE E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292159",
            "telephone_number": "858-484-1500",
            "fax_number": "858-484-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDER",
        "first_name": "KEVIN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9076T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah R Reed, PHD
• Shannon Reed
• Sharon L Reed, M.D.
• Spencer John Reed, IDC
• Kendal Brianne Reeder
• Lyshone Reeder
• Linda Basford Reedy, LCSW
• Reena Mittal Individual and Family Therapy Services Inc
• Abigail Noelle Rees
• May K Rees

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.