Provider Demographics
NPI:1346419405
Name:FLINT C. REID O.D.
Entity Type:Organization
Organization Name:FLINT C. REID O.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:FLINT
Authorized Official - Middle Name:C
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:207-487-3937
Mailing Address - Street 1:PO BOX 520
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04967-0520
Mailing Address - Country:US
Mailing Address - Phone:207-487-3937
Mailing Address - Fax:207-487-3936
Practice Address - Street 1:453 MAIN STREET
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:ME
Practice Address - Zip Code:04967
Practice Address - Country:US
Practice Address - Phone:207-487-3937
Practice Address - Fax:207-487-3936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-22
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOPT631332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME207660001Medicaid
MET31339Medicare UPIN
ME207660001Medicaid
ME0305570001Medicare NSC