MEDICARE: REED OPTOMETRY PLLC

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	6995T	TX

General Provider Information

NPI Number	:	1427237783
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REED OPTOMETRY PLLC

Provider Business Mailing Address
First Line	:	9300 S IH 35
Second Line	:	SUITE C-100B
City	:	AUSTIN
State	:	TX
Zip	:	78748-1733
Country	:	US
Telephone Number	:	512-693-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	9300 S IH 35
Second Line	:	SUITE C-100B
City	:	AUSTIN
State	:	TX
Zip	:	78748-1733
Country	:	US
Telephone Number	:	512-693-2020
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JASON REED
Credential	:	O.D.
Telephone Number	:	512-693-2020

Provider Enumeration Date	:	11/02/2007
Last Update Date	:	04/26/2012

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