Organization
JOHN W REED OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN W REED O.D. (SOLE MEMBER)
(480) 545-9120
Entity
Organization
Contact information
Practice address
1356 S GILBERT RD STE 3, MESA, AZ 85204-6077
(480) 545-9120
(480) 545-9384
Mailing address
1356 S GILBERT RD STE 3, MESA, AZ 85204-6077
(480) 545-9120
(480) 545-9384
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
189
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0906040
BCBS OF AZ
AZ
Enumeration date
11/18/2011
Last updated
01/13/2012
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