MEDICARE: DR. LEON A REID III MD

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	207W00000X	Ophthalmology Physician	35-045315	OH
2	207W00000X	Ophthalmology Physician	0101030207	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	180032054	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497724959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEON A REID III MD

Provider Business Mailing Address
First Line	:	5535 FAIR LN
Second Line	:	SUITE C
City	:	CINCINNATI
State	:	OH
Zip	:	45227-3434
Country	:	US
Telephone Number	:	513-221-5274
Fax Number	:	513-961-5100

Provider Business Practice Location Address
First Line	:	4631 RIDGE AVE
Second Line	:	STE A
City	:	CINCINNATI
State	:	OH
Zip	:	45209-1028
Country	:	US
Telephone Number	:	513-861-3377
Fax Number	:	513-861-3759

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

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	12/31/2013

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