MEDICARE: REED EYE CARE CENTER

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	046011059	IL

General Provider Information

NPI Number	:	1487109484
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REED EYE CARE CENTER

Provider Business Mailing Address
First Line	:	6407 N ILLINOIS ST
Second Line	:
City	:	FAIRVIEW HEIGHTS
State	:	IL
Zip	:	62208-2720
Country	:	US
Telephone Number	:	618-398-5005
Fax Number	:	618-852-1930

Provider Business Practice Location Address
First Line	:	6407 N ILLINOIS ST
Second Line	:
City	:	FAIRVIEW HEIGHTS
State	:	IL
Zip	:	62208-2720
Country	:	US
Telephone Number	:	618-398-5005
Fax Number	:	618-852-1930

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KAREN DARLENE REED
Credential	:	OD
Telephone Number	:	618-398-5005

Provider Enumeration Date	:	08/18/2016
Last Update Date	:	03/27/2026

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