Healthcare Provider Details

I. General information

NPI: 1487109484
Provider Name (Legal Business Name): REED EYE CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2016
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6407 N ILLINOIS ST
FAIRVIEW HEIGHTS IL
62208-2720
US

IV. Provider business mailing address

6407 N ILLINOIS ST
FAIRVIEW HEIGHTS IL
62208-2720
US

V. Phone/Fax

Practice location:
  • Phone: 618-398-5005
  • Fax: 618-852-1930
Mailing address:
  • Phone: 618-398-5005
  • Fax: 618-852-1930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number046011059
License Number StateIL

VIII. Authorized Official

Name: DR. KAREN DARLENE REED
Title or Position: OWNER
Credential: OD
Phone: 618-398-5005