Individual
DR. REID THOMAS WESLEY OBERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
580 MOHAWK DRIVE, BOULDER, CO 80302-3712
(303) 338-3800
Mailing address
10350 E DAKOTA AVENUE, DENVER, CO 80147-1314
(303) 344-7504
(303) 344-7907
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1727
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009937
KAISER COMMERCIAL NUMBER
CO
01
—
009937
KAISER-COMMERCIAL NUMBER
—
05
—
78121043
—
CO
Enumeration date
03/22/2007
Last updated
04/09/2021
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