Healthcare Provider Details

I. General information

NPI: 1760562151
Provider Name (Legal Business Name): REED OPTICAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 04/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 PLEASANT ST
CLAREMONT NH
03743-2605
US

IV. Provider business mailing address

63 PLEASANT ST
CLAREMONT NH
03743-2605
US

V. Phone/Fax

Practice location:
  • Phone: 603-543-3125
  • Fax:
Mailing address:
  • Phone: 603-543-3125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number50
License Number StateNH

VIII. Authorized Official

Name: MARILYN REED
Title or Position: CO-OWNER
Credential: OPTICIAN
Phone: 603-543-3125