Individual
DR. JOSEPH A REICHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1512 W ELM ST, EL RENO, OK 73036-4913
(405) 262-2354
(405) 262-2451
Mailing address
1512 W ELM ST, EL RENO, OK 73036-4913
(405) 262-2354
(405) 262-2451
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
986
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410015825
RAILROAD MEDICARE
OK
01
—
5690100
FIRST HEALTH
OK
01
—
731219351
VSP
OK
Enumeration date
10/27/2006
Last updated
02/04/2011
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