MR. KENT DOUGLAS REYNOLDS (NPI# 1043226178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043226178 |
| Entity Type | Individual |
| Full Name | MR. KENT DOUGLAS REYNOLDS |
| Credential | O.D. |
| Practice Address |
2700 14th Ave Se Albany OR 97322-6956 |
| Practice Telephone | 5419281667 |
| Practice Fax Number | 5419281817 |
| Mailing Telephone | 5419281667 |
| Mailing Fax Number | 5419281817 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2008-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3022ATI | OR | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | TA1285 | MD | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 025040 | 05 | |
| MD | 983001400 | 05 |
| Street Address |
2700 14TH AVE SE |
| City | ALBANY |
| State | OR |
| Zip Code | 97322-6956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194794156 | Dante A Copollone | Nurse Anesthetist, Certified Registered | 2700 14th Ave Se, Albany, OR 97322 | 2006-03-14 |
| 1053678979 | Genstler Hearing Center LLC | Hearing Aid Equipment | 2700 14th Ave Se, Albany, OR 97322-6956 | 2012-04-16 |
| 1285960112 | Richard Floyd Davis | Hearing Instrument Specialist | 2700 14th Ave Se, Albany, OR 97322-6956 | 2009-10-28 |
| 1124125596 | Darrell E Genstler Md PC | Optometrist | 2700 14th Ave Se, Albany, OR 97322 | 2006-09-20 |
| 1497851893 | Chiniko LLC | Clinic/Center | 2700 14th Ave Se, Albany, OR 97322 | 2006-09-15 |
| 1700982006 | Darrell E Genstler Md PC | Eyewear Supplier (Equipment, not the service) | 2700 14th Ave Se, Albany, OR 97322 | 2006-09-15 |
| 1063523751 | Darrell E Genstler | Ophthalmology | 2700 14th Ave Se, Albany, OR 97322 | 2006-08-31 |
| 1972572816 | Mid-valley Anesthesia Inc | Nurse Anesthetist, Certified Registered | 2700 14th Ave Se, Albany, OR 97322 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083109748 | Benjamin Voth | Counselor | 1858 Grand Prairie Rd Se, Albany, OR 97322 | 2018-06-26 |
| 1033534748 | Willamette Orthotics & Prosthetics, LLC | Durable Medical Equipment & Medical Supplies | 1630 9th Ave Se, Albany, OR 97322 | 2014-03-04 |
| 1699035998 | Morgan William Brown | Behavioral Analyst | 1885 21 St Ave Se Apt 44, Albany, OR 97322 | 2012-05-21 |
| 1780986059 | Gene Vang | Pharmacist | 1330 Goldfish Farm Rd Se, Albany, OR 97322 | 2010-11-18 |
| 1427362912 | Kate Fredrickson | Speech-Language Pathologist | 5353 Columbus St. Se, Albany, OR 97322 | 2010-07-27 |
| 1689906455 | Sandy Janiszewski | Registered Nurse | 1970 4th Ave. Se, Ste 120, Albany, OR 97322 | 2010-02-04 |
| 1841527066 | Karina Leonore Towers | Speech-Language Pathologist | 5353 Columbus Street Se, Albany, OR 97322 | 2009-11-09 |
| 1548497951 | T.c.s. Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3012 Se Oakwood Avenue, Albany, OR 97322 | 2009-06-12 |
| 1790932952 | Ramel C Romero | Physical Therapist | 5353 Colombus St Se, Albany, OR 97322 | 2008-08-19 |
| 1023275492 | Michael James | Hearing Instrument Specialist | 1610 9th Av. Se, Albany, OR 97322 | 2008-05-21 |
| Find all providers in zip 97322 | ||||
| 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 |
|---|---|---|---|---|
| 1295213502 | Stephanie A. Kostakis | Optometrist | 8 Southwoods Blvd Ste 8, Albany, NY 12211-2554 | 2018-07-30 |
| 1902333578 | Amanda Golchin | Optometrist | 26 Campus View Dr, Albany, NY 12211-1404 | 2017-05-15 |
| 1689068686 | Downtown Eyecare LLC. | Optometrist | 315 Lyon St S, Albany, OR 97321-2810 | 2015-03-27 |
| 1518360528 | Michael Aoyama | Optometrist | 603 Santa Fe Ave, Albany, CA 94706-1441 | 2014-10-03 |
| 1538577309 | Vision Care of Albany Inc. | Optometrist | 256 Burkesville Rd, Albany, KY 42602-1604 | 2014-07-24 |
| 1053724203 | Renee Gordon LLC | Optometrist | 2405 Ashford Dr, Albany, GA 31721-9246 | 2014-06-05 |
| 1053732628 | Trina Johnson | Optometrist | 526 W Broad Ave, Albany, GA 31701-2468 | 2013-12-26 |
| 1659650380 | Sampson Optical Corp. | Optometrist | 116 Wolf Rd, Albany, NY 12205-1184 | 2011-08-11 |
| 1265711543 | Denise Diana Saunders | Optometrist | 2825 Ledo Road, Vision Center Inside Wal-mart, Albany, GA 31707 | 2011-08-04 |
| 1487981197 | Kandi S. Moller, Od, LLC | Optometrist | 3031 Killdeer Ave Se, Albany, OR 97322-5325 | 2009-11-17 |
| Find all providers in ALBANY | ||||
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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.