Organization
JOE A. REYNOLDS, OD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH ALVIN REYNOLDS OD (PRESIDENT)
(812) 272-6319
Entity
Organization
Contact information
Practice address
1212 GRAND AVE STE 14, BILLINGS, MT 59102-4259
(406) 259-6786
Mailing address
627 MEADOWCREST DR, MT WASHINGTON, KY 40047-6486
(812) 272-6319
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598965162
—
MT
Enumeration date
10/30/2018
Last updated
12/04/2020
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