DR. CLYDE DOUGLAS REYNOLDS (NPI# 1811975634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811975634 |
| Entity Type | Individual |
| Full Name | DR. CLYDE DOUGLAS REYNOLDS |
| Other Name | DR. DOUGLAS REYNOLDS |
| Credential | O.D. |
| Practice Address |
460 E Nine Mile Rd Pensacola FL 32514-1441 |
| Practice Telephone | 8504771499 |
| Practice Fax Number | 8504793359 |
| Mailing Telephone | 8504771499 |
| Mailing Fax Number | 8504793359 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2011-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC3828 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS PROVIDER NUMBER | 45012 | 01 |
| FL | MEDICARE RAILROAD | P00229829 | 01 |
| Street Address |
460 E NINE MILE RD |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32514-1441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992290191 | Hannah Marie Greenfield | Optometrist | 460 E Nine Mile Rd, Pensacola, FL 32514-1441 | 2018-06-29 |
| 1356844187 | Andrew Munther Sahawneh | Optometrist | 460 E Nine Mile Rd, Pensacola, FL 32514-1441 | 2018-03-18 |
| 1619257789 | Brandi Casey Slapkunas | Optometrist | 460 E Nine Mile Rd, Pensacola, FL 32514-1441 | 2011-08-22 |
| 1033366448 | Matthew Steven Owens | Optometrist | 460 E Nine Mile Rd, Pensacola, FL 32514-1441 | 2008-08-27 |
| 1023164662 | Douglas Reynolds Od Pa | Optometrist | 460 E Nine Mile Rd, Pensacola, FL 32514-1441 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920643 | Cameron Rae Mackey | Student in an Organized Health Care Education/Training Program | 9091 Aiway Dr, Apt 622, Pensacola, FL 32514 | 2019-03-07 |
| 1083182612 | B & B of Pensacola LLC | Home Health | 2024 E Olive Rd, Pensacola, FL 32514 | 2018-11-13 |
| 1902398423 | Chana Levy | Developmental Therapist | 10080 Hillview Dr # 387b, Pensacola, FL 32514 | 2018-05-31 |
| 1629407663 | James Daniel Langston | Registered Nurse | 8383 North Davie Highway, Pensacola, FL 32514 | 2013-11-08 |
| 1174956197 | Valerie Kuloba | Pharmacist | 9251 University Parkway, Pensacola, FL 32514 | 2013-08-13 |
| 1548550924 | Pamela Lynn Trammel | Nurse Practitioner | 8383 North Davis Hywy, West Florida Hospital, Pensacola, FL 32514 | 2011-04-19 |
| 1659609378 | Michael Smith | Physical Therapy Assistant | 10100 Hillveiw Dr., Pensacola, FL 32514 | 2009-11-19 |
| 1154582906 | Karen Buchanan Bailey | Dentist | 2322 Copter Road, Pensacola, FL 32514 | 2008-06-24 |
| 1811181985 | Sandra Paquingan Kloman | Registered Nurse | 9400 University Parkway #10c, Medical Professional Agency, Pensacola, FL 32514 | 2007-08-31 |
| 1083826523 | Renfroe Spinal Center LLC | Chiropractor | 1421 East Nine Mile Rd, Pensacola, FL 32514 | 2007-05-04 |
| Find all providers in zip 32514 | ||||
| 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 |
|---|---|---|---|---|
| 1104470350 | Abby Luray Nice | Optometrist | 1630 Airport Blvd Ste 230, Pensacola, FL 32504-8637 | 2019-07-26 |
| 1013431600 | Megan Wohlers | Optometrist | 12591 Sorrento Rd Ste B, Pensacola, FL 32507 | 2017-07-26 |
| 1124481676 | Star Rostankovski | Optometrist | 6700 N Davis Hwy, Pensacola, FL 32504-6304 | 2016-04-01 |
| 1750761375 | Congleton Eye Care, LLC | Optometrist | 4600 Mobile Hwy, Suite 122, Pensacola, FL 32506 | 2015-06-09 |
| 1164789806 | Daniel & Max | Optometrist | 7000 N Davis Hwy # A, Pensacola, FL 32504-6309 | 2012-04-19 |
| 1902128960 | Owens & Reynolds Inc | Optometrist | 800 N 12th Ave, Pensacola, FL 32501-3303 | 2010-02-18 |
| 1447491238 | Barry J Stein Od Pa | Optometrist | 6601 N Davis Hwy Ste 1b, Pensacola, FL 32504-6210 | 2009-03-09 |
| 1063665693 | Rodney Taylor | Optometrist | 46 Faison St, Pensacola, FL 32505-1885 | 2008-10-28 |
| 1831345503 | Paul Raymond Mayo II | Optometrist | 450 Turner St Bldg 3600, Pensacola, FL 32508-5211 | 2008-08-13 |
| 1457416562 | Coastal Family Eyecare Inc | Optometrist | 3960 W Navy Blvd, Suite 1, Pensacola, FL 32507-1265 | 2006-12-27 |
| Find all providers in PENSACOLA | ||||
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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.