Provider Demographics
NPI:1427089770
Name:REED, DONNA (OD)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:DONNA
Other - Middle Name:
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:PO BOX 1427
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:NH
Mailing Address - Zip Code:03257-1427
Mailing Address - Country:US
Mailing Address - Phone:603-526-4043
Mailing Address - Fax:603-526-6949
Practice Address - Street 1:197 MAIN ST.
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:NH
Practice Address - Zip Code:03257-1427
Practice Address - Country:US
Practice Address - Phone:603-526-4043
Practice Address - Fax:603-526-6949
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0712152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30354804Medicaid
NH50Y003400NH01OtherANTHEM
NH271856OtherCIGNA
NH30354804Medicaid
NHVX2852Medicare PIN