Individual
JOSEPH REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
26381 S TAMIAMI TRL, STE 112, BONITA SPRINGS, FL 34134-7803
(239) 992-2020
(239) 992-2005
Mailing address
26381 S TAMIAMI TRL, STE 112, BONITA SPRINGS, FL 34134-7803
(239) 992-2020
(239) 992-2005
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3045
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20730
BLUE CROSS BLUE SHIELD
FL
05
—
620218700
—
FL
01
—
7023203
CIGNA
FL
01
—
7084213
AETNA
FL
Enumeration date
05/16/2006
Last updated
04/24/2024
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