Individual
DR. WILLIAM ROY REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5166 SUNSET BLVD, SUITE J, LEXINGTON, SC 29072-9258
(803) 996-2020
(803) 808-2917
Mailing address
5166 SUNSET BLVD, SUITE J, LEXINGTON, SC 29072-9258
(803) 996-2020
(803) 808-2917
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1291
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D12918
—
SC
Enumeration date
10/12/2006
Last updated
10/29/2009
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