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Individual

NELSON V REID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
4200 N RODNEY PARHAM RD, SUITE 101, LITTLE ROCK, AR 72212-2461
(501) 224-5658
(501) 224-8114
Mailing address
201 EXECUTIVE CT, SUITE A, LITTLE ROCK, AR 72205-4536
(501) 224-5658
(501) 224-8114

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2268
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0309950001
PALMETTO
AR
05
102511722
AR
01
15192000040
QUAL CHOICE
AR
01
2220037
UNITED HEALTHCARE
AR
01
410016895
TRAVELERS
AR
Enumeration date
08/02/2006
Last updated
03/07/2017
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