DR. THOMAS P REYBURN O.D.
NPI 1205973195
Optometrist in Ada, MI

Q: What is Thomas Reyburn's NPI number?

The NPI number for Thomas Reyburn is 1205973195. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Q: What is Thomas Reyburn's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Reyburn was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 31, 2007PECOS Enrolled

400 ADA DR SE, ADA, MI 49301(616) 676-1283(616) 676-9133 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Thomas P Reyburn O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS P REYBURN O.D. (NPI 1205973195) is an individual optometrist in Ada, Michigan, licensed in Michigan (4901002630) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205973195

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. THOMAS P REYBURNCredential: O.D.

Location Address400 ADA DR SEAda, MI 49301-8429

Mailing AddressPo Box 219Ada, MI 49301-0219 · (616) 676-1283 · Fax (616) 676-9133

Phone(616) 676-1283

Fax(616) 676-9133

Sole ProprietorNo

Enumeration DateJanuary 31, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1205973195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MI · 4901002630

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

400 ADA DR SE, Ada, MI 49301

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Other Identifiers 2

Medicare ID-Type UnspecifiedM77760001MI

Medicaid94-4140369MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas P Reyburn O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Reyburn's NPI number?

The NPI number for Thomas Reyburn is 1205973195. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Thomas Reyburn located?

Thomas Reyburn practices at 400 Ada Dr SE, Ada, MI 49301. The listed phone number is (616) 676-1283.

What is Thomas Reyburn's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Thomas Reyburn enrolled in Medicare?

Yes. Thomas Reyburn is registered in the Medicare PECOS enrollment system.

What insurance does Thomas Reyburn accept?

Health plans from Providence Health Plan list Thomas Reyburn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Reyburn was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.