MEDICARE: CHRISTOPHER WARREN REED OD

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	OPC2556	FL
2	152WC0802X	Corneal and Contact Management Optometrist	OPC2556	FL
3	152WP0200X	Pediatric Optometrist	OPC2556	FL

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

General Provider Information

NPI Number	:	1992801153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER WARREN REED OD

Provider Business Mailing Address
First Line	:	931 NORTH STATE ROAD 434
Second Line	:	#1140
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714
Country	:	US
Telephone Number	:	407-671-2020
Fax Number	:	407-681-2020

Provider Business Practice Location Address
First Line	:	931 N STATE ROAD 434
Second Line	:	#1140
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-7022
Country	:	US
Telephone Number	:	407-671-2020
Fax Number	:	407-681-2020

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

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	04/05/2017

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