OrganizationActive
On-Site Medical Providers
NPI 1124527320 · Optometrist · Panama City, FL
Provider details
- NPI number
- 1124527320
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Jennifer Reyes, President(210) 722-2963
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6928 Bayou George Dr
Panama City, FL 32404-5013
Phone: (210) 722-2963
Street-level locationGet directions
Mailing address
6928 Bayou George Dr
Panama City, FL 32404-5013
Registry dates
- Enumerated
- 2018-02-03
- Last updated
- 2018-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.