MEDICARE: DR. ROBERT LEE REID OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	2162TG	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033115365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT LEE REID OD

Provider Business Mailing Address
First Line	:	5419 FM 1960 RD W
Second Line	:	SUITE C
City	:	HOUSTON
State	:	TX
Zip	:	77069-4305
Country	:	US
Telephone Number	:	281-894-2020
Fax Number	:	281-537-7617

Provider Business Practice Location Address
First Line	:	5419 FM 1960 RD W
Second Line	:	SUITE C
City	:	HOUSTON
State	:	TX
Zip	:	77069-4305
Country	:	US
Telephone Number	:	281-894-2020
Fax Number	:	281-537-7617

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	11/27/2023

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Directions to “ DR. ROBERT LEE REID OD” Practice Location

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