DR. KEVIN MICHAEL REYNOLDS (O.D.) – Optometrist, NPI 1063640043

DR. KEVIN MICHAEL REYNOLDS (O.D.) is a healthcare provider. based in Selma, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 7515TG (TX). The NPI Number for DR. KEVIN MICHAEL REYNOLDS (O.D.) is 1063640043

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN MICHAEL REYNOLDS (O.D.)
NPI
1063640043
Phone
(210) 658-9133
Address
15330 INTERSTATE 35 N
Enumeration Date
29 June 2009
Last Update Date
19 January 2016

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
8308375310
Graduation Year
2009 (17 years ago)
PAC ID
9638359201
Group Practice PAC ID
1951645068
Professional Enrollment ID
I20180828001645
Address ID
TX781306892NE2164XPLXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

3,129 OPTOMETRY in TX

Loading map...

Provider Addresses for DR. KEVIN MICHAEL REYNOLDS (O.D.)

  • Costco, 15330, Interstate 35 North, Selma, Bexar County, Texas, 78154, United States

    SELMA, TX 781543814

    Phone: (210) 658-9133

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $401.

Total Amount is formed as General ($401) + Research ($0) + Ownership ($0) = $401.

Last reported payment date: 2024-09-30 • Largest payer in this snapshot: BIOTISSUE HOLDINGS INC. ($156).

Total Amount

$401

General + Research + Ownership

Payments

3

Total payment records

General Amount

$401

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-30

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: 2018-08-28

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
I20180828001645IOptometryTXTBD

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
92250Photography of the retina208202$0
92014Established patient complete exam of visual system192178$0
92004New patient complete exam of visual system4545$0
92133Imaging of optic nerve3228$0
92012Established patient problem focused exam of visual system2725$0
View full utilization report →

Insurance plans in this area (ZIP 78154)

Loading plans...

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: 1951645068View full group profile
NameSpecialtyState
O P T O M E T R YTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm DR. KEVIN MICHAEL REYNOLDS (O.D.)'s NPI?
Yes. DR. KEVIN MICHAEL REYNOLDS (O.D.) is listed with NPI 1063640043 in the public NPI dataset.
Does CMS list DR. KEVIN MICHAEL REYNOLDS (O.D.) as active?
Yes — DR. KEVIN MICHAEL REYNOLDS (O.D.) is active in the NPI listing used on this page.
What healthcare role does DR. KEVIN MICHAEL REYNOLDS (O.D.) hold?
Scheduling teams often label DR. KEVIN MICHAEL REYNOLDS (O.D.) under Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. KEVIN MICHAEL REYNOLDS (O.D.) on a map?
Expect Selma, Texas as a primary anchor for DR. KEVIN MICHAEL REYNOLDS (O.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

8222, Agora Parkway, The Forum at Olympia Parkway, Selma, Bexar County, Texas, 78154, United States
NPI: 1366682882
15330 Interstate 35 N
NPI: 1811126949
Autry Pond Road, Bulverde Marketplace, San Antonio, Bexar County, Texas, 78247, United States
NPI: 1275866816
3808 MANCHACA RD
NPI: 1336452903
15069 IH 35 N
NPI: 1730567330
8215 AGORA PKWY
NPI: 1558713222

My EyeLab

Eyewear Supplier
1615 S CONGRESS AVE STE 105
NPI: 1295211050

RCP EYECARE, PC

Optometrist
The Peak, Rowlands Castle, East Hampshire, Hampshire, South East, England, PO9 6AQ, United Kingdom
NPI: 1821578030
8222 AGORA PKWY, SELMA, TX 78154
NPI: 1396212130