Individual
DR. LAWRENCE D REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6708 RAYTOWN RD, RAYTOWN, MO 64133-5272
(816) 353-1872
(816) 353-5022
Mailing address
6708 RAYTOWN RD, RAYTOWN, MO 64133-5272
(816) 353-1872
(816) 353-5022
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1174-3
KS
152W00000X
Optometrist
Primary
T02419
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0185130001
DMERC
—
01
—
1174-3
LICENSE
KS
05
—
311382527
—
MO
01
—
410008504
RAILROAD MEDICARE
—
01
—
T02419
LICENSE
MO
Enumeration date
11/30/2005
Last updated
07/12/2010
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