Individual
MAYA SINULINGGA REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
110 E RYDER ST, LITCHFIELD, IL 62056-2031
(217) 324-2762
(217) 324-2762
Mailing address
110 E RYDER ST, LITCHFIELD, IL 62056-2031
(217) 324-2762
(217) 324-2086
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010769
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046010769
—
IL
Enumeration date
06/11/2012
Last updated
05/15/2026
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