Individual
LINDA SUSAN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7400 RIVERS AVE, NORTH CHARLESTON, SC 29406-4644
(843) 824-2424
(843) 572-0395
Mailing address
53 NORVIEW DR, CHARLESTON, SC 29407-3714
(843) 532-4247
(844) 394-2068
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1229
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24123
SPECTERA
SC
01
—
50961
DAVIS VISION
SC
05
—
D12298
—
SC
01
—
HU1732118
HIGHMARK BC/BS
SC
Enumeration date
04/05/2006
Last updated
07/17/2020
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