WILLIAM T JR. REYNOLDS (OD) – Optometrist, NPI 1174516298

WILLIAM T JR. REYNOLDS (OD) is a healthcare provider. based in Richmond, Kentucky. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 1069 DT (KY). The NPI Number for WILLIAM T JR. REYNOLDS (OD) is 1174516298

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM T JR. REYNOLDS (OD)
NPI
1174516298
Phone
(859) 623-3358
Address
1020 GIBSON BAY DR
Enumeration Date
24 August 2005
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
8596233358
Graduation Year
1985 (41 years ago)
PAC ID
3476466392
Group Practice PAC ID
0143133058
Professional Enrollment ID
I20050401000185
Address ID
KY404753448RI1020XDRXX400
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

700 OPTOMETRY in KY

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Provider Addresses for WILLIAM T JR. REYNOLDS (OD)

  • 1020, Gibson Bay Drive, Richmond, Madison County, Kentucky, 40475, United States

    RICHMOND, KY 404753448

    Phone: (859) 623-3358

    Fax: (859) 623-8141

    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 18 Open Payments records for all available years, with a total value of $857.

Total Amount is formed as General ($857) + Research ($0) + Ownership ($0) = $857.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($306).

Total Amount

$857

General + Research + Ownership

Payments

18

Total payment records

General Amount

$857

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

Latest reported date

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: 2005-04-01

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
I20050401000185IOptometryKYTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
66984Removal of cataract with insertion of prosthetic lens1,98017$0
99213Established patient office or other outpatient visit, 20-29 minutes283187$0
92014Established patient complete exam of visual system225215$0
92250Photography of the retina10296$0
92083Exam of visual field with extended testing10293$0
View full utilization report →

Insurance plans in this area (ZIP 40475)

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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: 0143133058View full group profile
NameSpecialtyState
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YKY

Reviews

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Frequently asked questions

Is WILLIAM T JR. REYNOLDS (OD) listed with a National Provider Identifier?
Yes — WILLIAM T JR. REYNOLDS (OD) has NPI 1174516298 on file in the registry.
Is there an active status for WILLIAM T JR. REYNOLDS (OD)?
For scheduling context, WILLIAM T JR. REYNOLDS (OD) is shown as active in the registry.
What kind of doctor is WILLIAM T JR. REYNOLDS (OD)?
WILLIAM T JR. REYNOLDS (OD) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for WILLIAM T JR. REYNOLDS (OD)?
Travel planning: use Richmond, Kentucky as the reference point for WILLIAM T JR. REYNOLDS (OD), then confirm.
Can I trust this NPI listing for WILLIAM T JR. REYNOLDS (OD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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