Individual
DR. MARIA SHAJIDA ESPAT REICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
55 E STEWART AVE STE B, MEDFORD, OR 97501-7944
(541) 779-9851
(541) 779-9853
Mailing address
55 E STEWART AVE, STE B, MEDFORD, OR 97501-7944
(541) 779-9851
(541) 779-9853
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2640AT
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111673
PROVIDENCE PREFERRED
—
01
—
150518
OMAP PROVIDER ID#
—
05
—
150518
—
OR
01
—
205038
COLE MANAGED VISION
—
01
—
410048870
RR MEDICARE
—
Enumeration date
08/24/2005
Last updated
06/16/2020
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