BEVERLY ANN REIDY (OD) – Optometrist, NPI 1265406219

BEVERLY ANN REIDY (OD) is a healthcare provider. based in Hamden, Connecticut. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 002053 (CT). The NPI Number for BEVERLY ANN REIDY (OD) is 1265406219

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
BEVERLY ANN REIDY (OD)
NPI
1265406219
Phone
(203) 248-6365
Address
2880 OLD DIXWELL AVE
Enumeration Date
15 February 2006
Last Update Date
18 February 2013

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
2032814330
Graduation Year
1985 (41 years ago)
PAC ID
4587704564
Group Practice PAC ID
9638290240
Professional Enrollment ID
I20091223000231
Address ID
CT065142406HA2100XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

530 OPTOMETRY in CT

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Provider Addresses for BEVERLY ANN REIDY (OD)

  • 2880, Old Dixwell Avenue, Centerville, Hamden, New Haven County, Connecticut, 06518, United States

    HAMDEN, CT 06518

    Phone: (203) 248-6365

    Fax: (203) 281-2742

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2023-08-09 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-12-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091223000231IOptometryCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06518)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638290240View full group profile
NameSpecialtyState
O P T O M E T R YCT

Reviews

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Frequently asked questions

How is BEVERLY ANN REIDY (OD) identified in CMS data?
CMS-hosted NPPES data lists BEVERLY ANN REIDY (OD) with NPI 1265406219.
Does the file indicate BEVERLY ANN REIDY (OD) is practicing under active NPI?
Directory data currently reports BEVERLY ANN REIDY (OD) as active.
What is BEVERLY ANN REIDY (OD)'s specialty?
The listing groups BEVERLY ANN REIDY (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
What address line appears for BEVERLY ANN REIDY (OD)?
BEVERLY ANN REIDY (OD)'s geographic hint is Hamden, Connecticut in our summary view.
Why does BEVERLY ANN REIDY (OD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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