Provider Demographics
NPI:1043693443
Name:REIMAN, JOANNA DAVIS (OD)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:DAVIS
Last Name:REIMAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7016 HARPS MILL RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-3243
Mailing Address - Country:US
Mailing Address - Phone:919-847-6889
Mailing Address - Fax:919-847-2441
Practice Address - Street 1:7016 HARPS MILL RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615
Practice Address - Country:US
Practice Address - Phone:919-847-6889
Practice Address - Fax:919-847-2441
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-02
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCOP1000324152W00000X
NC2424152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist