Provider Demographics
NPI:1992801153
Name:REED, CHRISTOPHER WARREN (OD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:WARREN
Last Name:REED
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:931 NORTH STATE ROAD 434
Mailing Address - Street 2:#1140
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714
Mailing Address - Country:US
Mailing Address - Phone:407-671-2020
Mailing Address - Fax:407-681-2020
Practice Address - Street 1:931 N STATE ROAD 434
Practice Address - Street 2:#1140
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-7022
Practice Address - Country:US
Practice Address - Phone:407-671-2020
Practice Address - Fax:407-681-2020
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC2556152W00000X, 152WC0802X, 152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152W00000XEye and Vision Services ProvidersOptometrist
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics