Individual
DR. JOHN F REIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D., P.S.
Contact information
Practice address
5601 E SPRAGUE AVE, SPOKANE VALLEY, WA 99212-0826
(509) 842-0001
(509) 842-0013
Mailing address
5601 E SPRAGUE AVE, SPOKANE VALLEY, WA 99212-0826
(509) 842-0001
(509) 842-0013
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1612
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8805615
MEDICARE GROUP PIN
WA
Enumeration date
10/03/2006
Last updated
04/18/2008
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