Individual
JOSEPH REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1212 GRAND AVE STE 14, BILLINGS, MT 59102
(406) 259-6786
Mailing address
1212 GRAND AVE STE 14, BILLINGS, MT 59102-4259
(406) 259-6786
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1708DT
KY
152W00000X
Optometrist
18003472A
IN
152W00000X
Optometrist
Primary
3381
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598965162
—
MT
Enumeration date
07/23/2007
Last updated
12/04/2020
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