Individual
RENEE E REEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
147 SYCAMORE ST, PIKEVILLE, KY 41501-9118
(606) 218-5540
(606) 218-5541
Mailing address
147 SYCAMORE ST, PIKEVILLE, KY 41501-9118
(606) 218-5540
(606) 218-5541
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046009035
IL
152W00000X
Optometrist
Primary
2135DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009035
—
IL
Enumeration date
08/31/2005
Last updated
07/10/2020
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