WILLIAM T REYNOLDS JR. (NPI# 1174516298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174516298 |
| Entity Type | Individual |
| Full Name | WILLIAM T REYNOLDS JR. |
| Credential | OD |
| Practice Address |
1020 Gibson Bay Dr Richmond KY 40475-3448 |
| Practice Telephone | 8596233358 |
| Practice Fax Number | 8596238141 |
| Mailing Telephone | 8596233358 |
| Mailing Fax Number | 8596238141 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2018-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1069 DT | KY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | CIGNA | 1312022 | 01 |
| KY | 77010692 | 05 | |
| KY | DEA LICENSE | MR0213051 | 01 |
| KY | ANTHEM | 000000051583 | 01 |
| KY | OPTOMETRIC LICENSE | 1069 DT | 01 |
| KY | AETNA | 4357622 | 01 |
| KY | RAILROAD | 410040399 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174172241 | William Franklin Reynolds | Technician | 192 Riviera Dr, Lemoore, CA 93245-9009 | 2019-09-10 |
| 1154782167 | William M Reynolds | Psychologist | 1032 Irving St., Pmb 321, San Francisco, CA 94122 | 2016-03-18 |
| 1649610007 | William Garrett Reynolds | Physician Assistant | 1301 Jones St, Apt 515, Omaha, NE 68102-3242 | 2013-07-01 |
| 1568806651 | William T Reynolds Jr. | Marriage & Family Therapist | 896 Kushiwah Creek Dr, Charleston, SC 29412-4410 | 2013-04-19 |
| 1356461347 | William B. Reynolds | Chiropractor | 323 Middle Country Rd., Smithtown, NY 11787-2857 | 2007-03-31 |
| 1003975186 | William Frederick Reynolds | Social Worker | 1312 Hanover St Ste B, Chattanooga, TN 37405-4353 | 2006-12-06 |
| 1306910104 | William Albert Reynolds IIi | Dentist | 5304 Koontz Dr, Cross Lanes, WV 25313 | 2006-11-20 |
| 1821187063 | William Roy Reynolds | Optometrist | 5166 Sunset Blvd, Suite J, Lexington, SC 29072-9258 | 2006-10-12 |
| 1154416006 | William Robert Reynolds | Specialist | 1531 E Bradford Pkwy Ste 215, Springfield, MO 65804-6539 | 2006-10-04 |
| 1235105974 | William Roger Reynolds | Dentist | 809 S Indiana Ave, Sellersburg, IN 47172-1613 | 2006-02-23 |
| Street Address |
1020 GIBSON BAY DR |
| City | RICHMOND |
| State | KY |
| Zip Code | 40475-3448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851384960 | Eyecare Center Optometrist Psc | Occupational Therapist | 1020 Gibson Bay Dr, Richmond, KY 40475-3448 | 2005-08-24 |
| 1760091680 | Corri Grace Collins | Optometrist | 1020 Gibson Bay Dr, Richmond, KY 40475-3448 | 2020-07-27 |
| 1073166799 | Sheri Kaye Gilbert | Optometrist | 1020 Gibson Bay Dr, Richmond, KY 40475-3448 | 2019-07-22 |
| 1447764535 | Taylor Lauren Waggoner | Optometrist | 1020 Gibson Bay Dr, Richmond, KY 40475-3448 | 2017-11-28 |
| 1851689699 | Sara Elizabeth Lemay | Optometrist | 1020 Gibson Bay Dr, Richmond, KY 40475-3448 | 2011-07-14 |
| 1043449978 | Lauren Renee Lodholz | Optometrist | 1020 Gibson Bay Dr, Richmond, KY 40475-3448 | 2009-07-13 |
| 1700879814 | Angela R Armes Thomas | Occupational Therapist | 1020 Gibson Bay Dr, Richmond, KY 40475-3448 | 2005-08-24 |
| 1083607105 | Anthony C Harris | Optometrist | 1020 Gibson Bay Dr, Richmond, KY 40475-3448 | 2005-08-24 |
| 1437142643 | Dwight M Burchett | Optometrist | 1020 Gibson Bay Dr, Richmond, KY 40475-3448 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611300 | Christina Panter | Social Worker | 370 Highland Drive, Ste 1a, Richmond, KY 40475 | 2020-08-26 |
| 1952875387 | Visionary Therapy Center, LLC | Speech-Language Pathologist | 100 Ky Hwy 15 South, Suite 136, Jackson, KY 40475 | 2019-01-18 |
| 1639656911 | Brian Kettler | Physical Therapy Assistant | 2025 Corporate Dr Ste 2, Richmond, KY 40475 | 2018-07-19 |
| 1376063198 | Erin Danielle Burt | Developmental Therapist | 100 Eastern Hills Drive, Richmond, KY 40475 | 2017-06-22 |
| 1477088730 | Paul Henley Jr. | Student in an Organized Health Care Education/Training Program | 157 Shelby Court, Richmond, KY 40475 | 2017-04-25 |
| 1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
| 1790221000 | Darisha Jenkins | Counselor | 435 Gibson Lane, Richmond, KY 40475 | 2017-01-10 |
| 1992259402 | Kendra Gross | Counselor | 451 Big Hill Ave Ste 5, Richmond, KY 40475 | 2016-08-12 |
| 1386095032 | Shantila Nicole Wolford | Case Manager/Care Coordinator | 411 Gibson Lane, Richmond, KY 40475 | 2016-06-23 |
| 1154776540 | Jessica Conley | Social Worker | 105 Masters Court, Richmond, KY 40475 | 2016-05-04 |
| Find all providers in zip 40475 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819370 | Chelsey Hoang | Optometrist | 5439 Atwood Canyon Ct, Richmond, TX 77407-2986 | 2020-07-31 |
| 1629627559 | Seth Gorman | Optometrist | 4501 S Laburnum Ave Ste 145, Richmond, VA 23231-2483 | 2019-09-04 |
| 1730732728 | Tso Richmond Aliana Pa | Optometrist | 10117 W. Grand Parkway South, Suite 101, Richmond, TX 77407 | 2019-07-19 |
| 1811549751 | Christopher Tran | Optometrist | 7101 W Grand Pkwy S Ste 170b, Richmond, TX 77407-8656 | 2019-07-11 |
| 1659933943 | Daniel Max & Marcandrea LLC | Optometrist | 22377 Bellaire Blvd Ste 300, Richmond, TX 77407-3926 | 2019-07-08 |
| 1639633753 | Grand Eye Care, LLC | Optometrist | 4828 Waterview Town Center, Suite 300, Richmond, TX 77406 | 2019-01-23 |
| 1346711132 | Texas Eyecare & Optical LLC | Optometrist | 8710 Grand Mission Blvd Ste D, Richmond, TX 77407-5413 | 2018-12-06 |
| 1831671213 | Jamie Pucci | Optometrist | 8700 Stony Point Pkwy Ste 240, Richmond, VA 23235-1966 | 2018-09-03 |
| 1285115758 | Cz Eye Care, Pllc | Optometrist | 18310 West Airport, Suite 900, Richmond, TX 77407 | 2018-08-23 |
| 1124516927 | Hoang Squared | Optometrist | 11020 Harlem Rd Ste 800, Richmond, TX 77406 | 2018-04-26 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.