Provider Demographics
NPI:1346262284
Name:REID, JAMIE C (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:C
Last Name:REID
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:JAMIE
Other - Middle Name:
Other - Last Name:CASON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:5358 HIGHWAY 17
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080-3604
Mailing Address - Country:US
Mailing Address - Phone:205-664-7577
Mailing Address - Fax:205-664-7654
Practice Address - Street 1:5358 HIGHWAY 17
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AL
Practice Address - Zip Code:35080-3604
Practice Address - Country:US
Practice Address - Phone:205-664-7577
Practice Address - Fax:205-934-6755
Is Sole Proprietor?:No
Enumeration Date:2006-07-23
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALT185TA690152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALV06508OtherVIVA HEALTH
AL009933313Medicaid
AL636005396OtherVISION SERVICE PLAN
AL51002977OtherBLUE CROSS BLUE SHIELD OF
AL009933313Medicaid
AL51002977OtherBLUE CROSS BLUE SHIELD OF
AL636005396OtherVISION SERVICE PLAN