Individual
MR. TIMOTHY SCOTT REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
326 ROUTE 20 SOUTH RD, BUCKHANNON, WV 26201-8963
(304) 472-2433
(304) 472-2453
Mailing address
326 ROUTE 20 SOUTH RD, BUCKHANNON, WV 26201-8963
(304) 472-2433
(304) 472-2453
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
756D
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150777000
—
WV
Enumeration date
01/03/2007
Last updated
08/12/2014
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