MEDICARE: DR. DONNA REED PLLC

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	0712	NH

General Provider Information

NPI Number	:	1972655686
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. DONNA REED PLLC

Provider Business Mailing Address
First Line	:	PO BOX 1427
Second Line	:
City	:	NEW LONDON
State	:	NH
Zip	:	03257-1427
Country	:	US
Telephone Number	:	603-526-4043
Fax Number	:	603-526-6949

Provider Business Practice Location Address
First Line	:	197 MAIN ST.
Second Line	:
City	:	NEW LONDON
State	:	NH
Zip	:	03257-1427
Country	:	US
Telephone Number	:	603-526-4043
Fax Number	:	603-526-6949

Authorized Official
Title or Position	:	OWNER OPTOMETRIST
Name	:	DR. DONNA REED
Credential	:	O.D.
Telephone Number	:	603-526-4043

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	05/21/2012

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