MEDICARE: DR. GEORGE W. REED O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	4141	OH

General Provider Information

NPI Number	:	1417941378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE W. REED O.D.

Provider Business Mailing Address
First Line	:	8711 MEADOWCREEK DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45458-3359
Country	:	US
Telephone Number	:	937-776-4772
Fax Number	:	937-848-6101

Provider Business Practice Location Address
First Line	:	3951 W FRANKLIN ST
Second Line	:
City	:	BELLBROOK
State	:	OH
Zip	:	45305-1834
Country	:	US
Telephone Number	:	937-848-6601
Fax Number	:	937-848-6101

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	07/03/2019

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