Johannie Nicole Reyes, OD
Optometrist in Hopewell, NJ. Individual provider (NPI-1).
NPI number1104743178
StatusActive
Last updated in NPPESSep 1, 2026
Details
- NPI
- 1104743178
- Entity type
- Individual (NPI-1)
- Name
- Johannie Nicole Reyes
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2026
- Certification date
- Sep 1, 2026
- Last updated
- Sep 1, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 27OA00745200 | NJ | Yes |
| 152W00000X | Optometrist | OEG004387 | PA |
Practice location
84 E Broad StHopewell, NJ 08525-1844
Phone 609-309-9565
Mailing address
111 E 4th St Ste 440Alton, IL 62002-6206
Other practice locations
260 N County Line Rd
Jackson, NJ 08527-4473
Jackson, NJ 08527-4473
Phone 732-730-3937
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Optometrist providers in Hopewell, NJ
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