Individual
WILLIAM CARLAN REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1455 S STATE ST, OREM, UT 84097-7748
(801) 226-3044
(801) 802-7326
Mailing address
1901 W PARKWAY BLVD, SALT LAKE CITY, UT 84119
(801) 886-2020
(801) 954-0054
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
348323-8904
UT
152WP0200X
Pediatric Optometrist
348323-9934
UT
152WS0006X
Sports Vision Optometrist
348323-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87017934014001
BLUE CROSS/BLUE SHIELD
UT
05
—
999000797009
—
UT
Enumeration date
02/02/2006
Last updated
06/02/2008
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