DR. REUBEN LEVI ALEXANDER (O.D.) – Optometrist, NPI 1790039030

DR. REUBEN LEVI ALEXANDER (O.D.) is a healthcare provider. based in Clarksville, Tennessee. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OEG002632 (PA). The NPI Number for DR. REUBEN LEVI ALEXANDER (O.D.) is 1790039030

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. REUBEN LEVI ALEXANDER (O.D.)
NPI
1790039030
Phone
(518) 727-1807
Address
566 KICKER CT
Enumeration Date
8 November 2012
Last Update Date
15 January 2026

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
7814494455
Graduation Year
2012 (14 years ago)
PAC ID
4183868433
Group Practice PAC ID
7911428305
Professional Enrollment ID
I20250625004114
Address ID
MA024922634NE1211XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:13State licenses:2Digital endpointsOther names

700 OPTOMETRY in KY

Provider Addresses for DR. REUBEN LEVI ALEXANDER (O.D.)

  • 566 KICKER CT

    CLARKSVILLE, TN 370406274

    Phone: (518) 727-1807

    Type: Mailing

  • 7973 THUNDER BLVD

    FORT CAMPBELL, KY 42223

    Phone: (270) 461-1138

    Type: Location

  • 9300 DEWITT LOOP

    FORT BELVOIR, VA 220605285

    Phone:

    Type: Mailing

  • 673 VFW PKWY

    CHESTNUT HILL, MA 024673656

    Phone: (617) 522-3443

    Fax: (617) 522-3440

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-06-25

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
I20250625004114IOptometryMATBD

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 37040)

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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: 7911428305View full group profile
NameSpecialtyState
O P T O M E T R YMA

Reviews

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Frequently asked questions

Is there an official ID for DR. REUBEN LEVI ALEXANDER (O.D.) in U.S. healthcare records?
The official identifier for DR. REUBEN LEVI ALEXANDER (O.D.) is NPI 1790039030.
Is there an active status for DR. REUBEN LEVI ALEXANDER (O.D.)?
For scheduling context, DR. REUBEN LEVI ALEXANDER (O.D.) is shown as active in the registry.
How would a patient describe DR. REUBEN LEVI ALEXANDER (O.D.)'s focus?
For DR. REUBEN LEVI ALEXANDER (O.D.), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Where in Tennessee is DR. REUBEN LEVI ALEXANDER (O.D.) registered?
Use Clarksville, Tennessee as the headline location for DR. REUBEN LEVI ALEXANDER (O.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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