Individual provider Active NPI

Robyn Randall Reesman, O.D.

  • Optometrist
  • Fort Payne, AL
National Provider Identifier
1992890206
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S821 TA429 Issued in AL
Practice address
2001 Glenn Blvd SW
Fort Payne, AL 35968-3535
Phone
(256) 997-0153
Fax
(256) 997-0155
NPI assigned
Oct 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S821 TA429 AL Primary

Addresses

Primary practice location

2001 Glenn Blvd SW
Fort Payne, AL 35968-3535

Mailing address

105 E Palisades Dr
Signal Mountain, TN 37377-3024
Phone (423) 517-0238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20080404000122 AL Practitioner - Optometry 4688751431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2001 Glenn Blvd SW
Fort Payne, AL 35968-3535
Phone (256) 997-0153

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S821 TA429ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robyn Reesman, O.D.,Inc. Optometrist CurrentSince Mar 14, 2008 Accepting new patients

Locations

2001 Glenn Blvd SW
Fort Payne, AL 35968
Phone (256) 997-0153

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992890206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E PALISADES DR",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373773024",
            "telephone_number": "423-517-0238",
            "fax_number": "423-517-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 GLENN BLVD SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683535",
            "telephone_number": "256-997-0153",
            "fax_number": "256-997-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESMAN",
        "first_name": "ROBYN",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S821 TA429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

Verify at the official NPI Registry.