Individual
MARIELLE GRACE REIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD, MS
Contact information
Practice address
1664 NEIL AVE, COLUMBUS, OH 43201-2333
(614) 292-2020
(614) 247-6626
Mailing address
5460 E LA PALMA AVE, ANAHEIM, CA 92807-2023
(714) 463-7500
(714) 992-7850
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
34402
CA
152W00000X
Optometrist
Primary
OPT.006732
OH
Other
Enumeration date
09/16/2019
Last updated
12/21/2020
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