Individual
MONICA L REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2044
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093VJ
BLUE CROSS
NC
05
—
5905078
—
NC
01
—
P01076627
RAILROAD MEDICARE
—
Enumeration date
09/06/2006
Last updated
03/04/2022
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