Provider Demographics
NPI:1295212769
Name:REED EYE CARE ASSOCIATES COMPANY
Entity Type:Organization
Organization Name:REED EYE CARE ASSOCIATES COMPANY
Other - Org Name:ARDMORE PREMIER EYECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:J
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:580-223-8585
Mailing Address - Street 1:1201 KIOWA ST STE A
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:OK
Mailing Address - Zip Code:73401-2246
Mailing Address - Country:US
Mailing Address - Phone:580-223-8585
Mailing Address - Fax:
Practice Address - Street 1:1201 KIOWA ST STE A
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401-2246
Practice Address - Country:US
Practice Address - Phone:580-223-8585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-26
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3005152W00000X
OK3006152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty