Provider Demographics
NPI:1417775651
Name:REED, CARLA (LDO)
Entity type:Individual
Prefix:
First Name:CARLA
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:LDO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 W ELM ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:OH
Mailing Address - Zip Code:45050-1317
Mailing Address - Country:US
Mailing Address - Phone:513-808-5225
Mailing Address - Fax:
Practice Address - Street 1:1275 E SECOND ST
Practice Address - Street 2:VISION CENTER
Practice Address - City:FRANKLIN
Practice Address - State:OH
Practice Address - Zip Code:45005-1937
Practice Address - Country:US
Practice Address - Phone:937-704-0809
Practice Address - Fax:937-704-0820
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOP.017793-S156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician