Individual
DR. TERRENCE J REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6700 W EMERALD ST, BOISE, ID 83704-8727
(208) 336-7100
(208) 321-2710
Mailing address
6700 W EMERALD ST, BOISE, ID 83704-8727
(208) 336-7100
(208) 321-2710
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-807
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002692102
—
ID
Enumeration date
12/05/2005
Last updated
03/21/2026
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