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Douglas Reynolds Od PA

NPI 1023164662ActiveOrganization· Optometrist· Pensacola, FL

Optometrist in Pensacola, Florida, registered in NPPES in January 2007. The authorized official on file is Clyde Douglas Reynolds, O.D., Owner. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.

Overview

NPI1023164662
StatusActive
Entity typeOrganization
NPI issuedJan 26, 2007
Last updated in NPPESJul 8, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000XOPC3828FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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Medicare

Enrollment (PECOS)Enrolled DME Supplier - Physician - Optometrist (FL); Part B Supplier - Clinic/Group Practice (FL)

Medicare sources and data years

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