Individual
DR. SCOTT R. REAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
207 CHESTNUT ST, THAYER, MO 65791-1203
(417) 264-7418
(417) 264-2838
Mailing address
PO BOX 157, THAYER, MO 65791-0157
(417) 264-7418
(417) 264-2838
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02734
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115216722
—
AR
05
—
312553506
—
MO
Enumeration date
11/02/2005
Last updated
04/18/2011
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