Individual
JONATHAN PAUL REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 224-1922
Mailing address
900 W SPRINGFIELD RD, TAYLORVILLE, IL 62568-1299
(540) 982-2463
(540) 224-1922
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002128
VA
Other
Enumeration date
06/11/2012
Last updated
03/18/2019
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