Individual
MARC ALLEN REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
650 CEDAR CREEK GRADE STE 114, WINCHESTER, VA 22601-6453
(540) 662-0222
Mailing address
650 CEDAR CREEK GRADE STE 114, WINCHESTER, VA 22601-6453
(540) 662-0222
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618003276
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/06/2023
Last updated
06/15/2023
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