MEDICARE: KRISTIN ANN REED OD, FAAO

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	1398	NE

General Provider Information

NPI Number	:	1720420961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN ANN REED OD, FAAO

Provider Business Mailing Address
First Line	:	19060 Q ST STE 107
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68135-1504
Country	:	US
Telephone Number	:	28-073-9374
Fax Number	:	402-807-7255

Provider Business Practice Location Address
First Line	:	19060 Q ST
Second Line	:	STE 107
City	:	OMAHA
State	:	NE
Zip	:	68135-1504
Country	:	US
Telephone Number	:	402-431-1203
Fax Number	:	402-431-4960

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

Provider Enumeration Date	:	07/29/2013
Last Update Date	:	08/16/2024

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