Individual
DR. DANIEL JAMES REEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2217 MAIN ST, BOX 329, EMMETSBURG, IA 50536-2446
(712) 852-2979
(712) 852-2024
Mailing address
2217 MAIN ST, BOX 329, EMMETSBURG, IA 50536-2446
(712) 852-2979
(712) 852-2024
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01629
IA
152WC0802X
Corneal and Contact Management Optometrist
01629
IA
152WL0500X
Low Vision Rehabilitation Optometrist
01629
IA
152WV0400X
Vision Therapy Optometrist
01629
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0129593
—
IA
01
—
12959
BLUE CROSS
IA
Enumeration date
08/30/2006
Last updated
11/11/2013
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