MEDICARE: DR. DANIEL FRANKLIN REAMES O.D.

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	1525	SC
2	152W00000X	Optometrist	OPT002505	GA

General Provider Information

NPI Number	:	1518128628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL FRANKLIN REAMES O.D.

Provider Business Mailing Address
First Line	:	1950 OLD GALLOWS RD STE 520
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22182-3970
Country	:	US
Telephone Number	:	703-847-8899
Fax Number	:	866-795-4020

Provider Business Practice Location Address
First Line	:	594 S COLUMBIA AVE
Second Line	:	SUITE 200
City	:	RINCON
State	:	GA
Zip	:	31326-9094
Country	:	US
Telephone Number	:	912-826-0935
Fax Number	:	912-826-0934

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

Provider Enumeration Date	:	06/20/2008
Last Update Date	:	02/16/2018

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