Provider Demographics
NPI:1225017924
Name:REIMER, PAUL E (OD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:E
Last Name:REIMER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:KS
Mailing Address - Zip Code:66801-4006
Mailing Address - Country:US
Mailing Address - Phone:620-343-7120
Mailing Address - Fax:620-343-2038
Practice Address - Street 1:512 COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:KS
Practice Address - Zip Code:66801-4006
Practice Address - Country:US
Practice Address - Phone:620-343-7120
Practice Address - Fax:620-343-2038
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1384152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100219520AMedicaid
KS410029055OtherRAILROAD MEDICARE
KS0632550001OtherDMERC
KS410029055OtherRAILROAD MEDICARE
KS017188Medicare ID - Type Unspecified