Healthcare Provider Details

I. General information

NPI: 1811914898
Provider Name (Legal Business Name): REED VISION ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 06/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1180 N MONROE ST
MONROE MI
48162-3190
US

IV. Provider business mailing address

1180 N MONROE ST
MONROE MI
48162-3190
US

V. Phone/Fax

Practice location:
  • Phone: 734-243-5300
  • Fax: 734-243-9956
Mailing address:
  • Phone: 734-243-5300
  • Fax: 734-243-9956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number StateOH
# 6
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number StateMI

VIII. Authorized Official

Name: DR. STEPHEN Y REED
Title or Position: PRESIDENT
Credential: M.D.
Phone: 734-243-5300