Jennifer Reynolds, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003416A Issued in IN

Practice address

1501 State St
New Albany, IN 47150-4911

Phone

(812) 945-1162

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Indiana University - School of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Reynolds Family Eye Care, LLC

  • Optometrist
  • New Albany, IN
  • NPI 1538806583

  IN, Optometrist

  Medicare reassignment NPD Authorized official
• Louisville Optometric Centers III, PSC

  • Optometrist
  • Louisville, KY
  • NPI 1134111271

  IN

  Medicare reassignment
• Michael Gettelfinger OD

  • Eyewear Supplier
  • New Albany, IN
  • NPI 1699950592
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1992889075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 STATE ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504911",
            "telephone_number": "812-945-1162",
            "fax_number": "812-945-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 STATE ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504911",
            "telephone_number": "812-945-1162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4326 Charlestown Rd # 2",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471508542",
            "country_code": "US",
            "telephone_number": "812-945-0023",
            "fax_number": "812-945-0291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JENNIFER",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1670DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003416A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200868720",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00766631",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000510856",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100002840",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drreynolds@reynoldsfamilyeyecare.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1501 State St",
            "city": "New Albany",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471504911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James Dale Resler III, PHARMD
• Resource Anesthesiology Associates of Indiana, LLC
• Restoring Wellness Counseling, LLC
• Reynolds Family Eye Care, LLC
• Ashley Reynolds, RBT
• Laleh Rezaei, M.D.
• Daniel Alan Ribeiro, PSY.D.
• Richard P Gardner MD PSC
• Nathan Boone Richards, M.D.
• Courtney Roan Richardson-Young, MS. CCC-SLP

• Optometrist in New Albany, IN
• Providers in New Albany, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.