Individual
JULIA PRIDGEN REEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2071
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0933P
BCBS NC
NC
01
—
44098
RAILROAD MEDICARE
NC
05
—
5907927
—
NC
Enumeration date
09/20/2007
Last updated
11/20/2024
Update your record
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