Provider Demographics
NPI:1194882126
Name:GINDI-REED, NORA (OD)
Entity type:Individual
Prefix:DR
First Name:NORA
Middle Name:
Last Name:GINDI-REED
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:NORA
Other - Middle Name:
Other - Last Name:GINDI-REED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1831 N BELCHER RD STE B2
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-1442
Mailing Address - Country:US
Mailing Address - Phone:727-531-6956
Mailing Address - Fax:727-445-7744
Practice Address - Street 1:1831 N BELCHER RD STE B2
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-1442
Practice Address - Country:US
Practice Address - Phone:727-531-6956
Practice Address - Fax:727-445-7744
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2044152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WP0200XEye and Vision Services ProvidersOptometristPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL078723000Medicaid
FL078723000Medicaid
FLT54807Medicare UPIN