Healthcare Provider Details

I. General information

NPI: 1093725640
Provider Name (Legal Business Name): REDING OPTICS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 03/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13231 W 143RD ST SUITE 101
HOMER GLEN IL
60491-6638
US

IV. Provider business mailing address

13231 W 143RD ST SUITE 101
HOMER GLEN IL
60491-6638
US

V. Phone/Fax

Practice location:
  • Phone: 708-301-2020
  • Fax: 708-301-0884
Mailing address:
  • Phone: 708-301-2020
  • Fax: 708-301-0884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: MRS. JEANINE L. REDING
Title or Position: PRESIDENT
Credential:
Phone: 708-301-2020