Provider Demographics
NPI:1154798395
Name:JAMES W REED OD PLLC
Entity type:Organization
Organization Name:JAMES W REED OD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:480-545-9120
Mailing Address - Street 1:1356 S GILBERT RD STE 3
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85204-6077
Mailing Address - Country:US
Mailing Address - Phone:480-545-9120
Mailing Address - Fax:480-545-9384
Practice Address - Street 1:1356 S GILBERT RD STE 3
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85204-6077
Practice Address - Country:US
Practice Address - Phone:480-545-9120
Practice Address - Fax:480-545-9384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier