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General NPI Number Information
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NPI Number | 1669467130
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Entity Type | Individual
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Provider Name | KAREN D. REED O.D.
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Gender | Female
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Dates
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Enumeration Date | 09/12/2005
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 6407 N ILLINOIS ST
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City | FAIRVIEW HEIGHTS
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State | IL
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Zip | 62208-2720
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Country | US
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Telephone | 618-398-5005
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Fax | 618-852-1930
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Provider Business Mailing Address
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Address Line | 6407 N ILLINOIS ST
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City | FAIRVIEW HEIGHTS
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State | IL
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Zip | 62208-2720
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Country | US
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Telephone | 618-398-5005
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Fax | 618-852-1931
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 046011059
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License Number State | IL
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