Provider Demographics
NPI:1114132826
Name:REAMES, MICHELLE LYNN (OD PA)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:LYNN
Last Name:REAMES
Suffix:
Gender:F
Credentials:OD PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 MERRIMON AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-3408
Mailing Address - Country:US
Mailing Address - Phone:828-254-3230
Mailing Address - Fax:828-258-2232
Practice Address - Street 1:508 MERRIMON AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-3408
Practice Address - Country:US
Practice Address - Phone:828-254-3230
Practice Address - Fax:828-258-2232
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1987152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC020AHOtherBCBS
NC5909343Medicaid
NCMR0849458OtherDEA #
NC020AHOtherBCBS
NC5909343Medicaid