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ALICIA REED-THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
603 W NATIONAL AVE, BRAZIL, IN 47834-0188
(812) 443-3937
(812) 443-3937
Mailing address
603 W NATIONAL AVE, PO BOX 188, BRAZIL, IN 47834
(812) 443-3937
(812) 443-3937

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002645B
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000080046
BLUE CROSS BLUE SHIELD
IN
01
0730490001
DMERC
IN
05
100406960A
IN
01
1022881
CHAMPUS
IN
01
1490559
UMWA
IN
01
410048542
RR MEDICARE
IN
Enumeration date
05/27/2005
Last updated
10/26/2009
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