Healthcare Provider Details

I. General information

NPI: 1801236799
Provider Name (Legal Business Name): REED AUSTIN HOPPING OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2013
Last Update Date: 08/30/2022
Certification Date: 08/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1234 BAY AREA BLVD STE E
HOUSTON TX
77058-2538
US

IV. Provider business mailing address

1234 BAY AREA BLVD STE E
HOUSTON TX
77058-2538
US

V. Phone/Fax

Practice location:
  • Phone: 281-488-2020
  • Fax: 281-488-2009
Mailing address:
  • Phone: 281-488-2020
  • Fax: 281-488-2009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number8241-T
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: