MEDICARE: DR. STEPHEN Y REED M.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	207W00000X	Ophthalmology Physician	4301052712	MI
2	207W00000X	Ophthalmology Physician	35062636	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1528063526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN Y REED M.D.

Provider Business Mailing Address
First Line	:	PO BOX 2062
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43603-2062
Country	:	US
Telephone Number	:	734-243-5300
Fax Number	:	734-243-9956

Provider Business Practice Location Address
First Line	:	1036 ABBEY RD
Second Line	:
City	:	MONROE
State	:	MI
Zip	:	48161-9067
Country	:	US
Telephone Number	:	734-457-6580
Fax Number	:

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	11/19/2019

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