Michael J Redus, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1731 Issued in TN

Practice address

1001 Over Mountain Dr
Elizabethton, TN 37643-2855

Phone

(423) 543-3293

Fax

(423) 543-8305

NPI assigned

Apr 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Dr. Michael J Redus Professional name

Medicare fee-for-service enrollment

Enrolled in AL, TN2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21450/brand/1/csg/1/fhir/r4

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.

• GW Stone Capital LLC

  • Optometrist
  • Opelika, AL
  • NPI 1700198918
  Medicare reassignment NPD
• TN Doctors of Optometry, PLLC

  • Optometrist
  • Collierville, TN
  • NPI 1538827050
  Medicare reassignment
• Dr. Mark Lynn & Associates, PLLC

  • Optometrist
  • Franklin, TN
  • NPI 1194739490
  NPD
• Ky Doctors of Optometry, PLLC

  • Eyewear Supplier
  • St Matthews, KY
  • NPI 1801610985

  Optometrist

  NPD
• Auburn Lasik & Eye Institute, LLC

  • Ophthalmology Physician
  • Opelika, AL
  • NPI 1730441601

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343433600000",
    "number": "1982828703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 OVER MOUNTAIN DR",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432855",
            "telephone_number": "423-543-3293",
            "fax_number": "423-543-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 OVER MOUNTAIN DR",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432855",
            "telephone_number": "423-543-3293",
            "fax_number": "423-543-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDUS",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2012-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5314T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1731",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001566",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R-192-TA-861",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "REDUS",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tammy Leigh Radford, RN
• Renee Denise Ray, OTR
• Recovery Soldiers Ministries
• Recovery Soldiers Ministries
• Recovery Soldiers Services
• Reed Pharmacy, Inc.
• Bobby Dean Reynolds II, FNP
• Derek Charles Rhoton, P.A.-C
• Richard Woodward
• Riverside Pedatrics PLLC

• Optometrist in Elizabethton, TN
• Providers in Elizabethton, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2012; 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.