MEDICARE: DR. KAREN D. 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	046011059	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	P00402861	OTHER	MO	RR MEDICARE
10	410048084	OTHER	IL	RR MEDICARE
11	410048084	OTHER	MO	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	117888	OTHER		EYEMED
2	22-00537	OTHER	MO	UHC
3	24892	OTHER	MO	OPTICARE / MED. COMPLETE
4	40143	OTHER	MO	HEALTHCARE USA
5	674121	OTHER	MO	HELATHLINK
6	44085	OTHER		DAVIS VISION
8	155710	OTHER		BLUE CROSS BLUE SHIELD
9	110975	OTHER	MO	EYEMED

General Provider Information

NPI Number	:	1669467130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN D. REED O.D.

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	:	618-852-1931

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	08/19/2025

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