Individual
DR. JOHN OZMENT REYNOLDS
Active
Individual
DR. JOHN OZMENT REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
17420
NC
207W00000X
Ophthalmology Physician
Primary
17420
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1052613
WELLCARE OF SC
SC
01
—
1440027
COVENTRY
—
01
—
30170953
SELECT HEALTH
SC
01
—
4414449
AETNA
—
01
—
71358
BCBS
NC
05
—
8971358
—
NC
01
—
P01307753
MEDICARE RAILROAD
NC
01
—
Q17420
MEDICAID
SC
Enumeration date
01/12/2006
Last updated
03/16/2015
Update your record
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