Provider Demographics
NPI:1417066705
Name:DREES, ALBERT M (OD)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:M
Last Name:DREES
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8740 MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2152
Mailing Address - Country:US
Mailing Address - Phone:513-791-2222
Mailing Address - Fax:513-791-6964
Practice Address - Street 1:8740 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2152
Practice Address - Country:US
Practice Address - Phone:513-791-2222
Practice Address - Fax:513-791-6964
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2009-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4275 / T912152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
311645431OtherHUMANA
311645431OtherU.H.C.
000000122751OtherANTHEM
275562005002OtherMEDICAL MUTUAL OF OHIO
311645431OtherAETNA
275562005002OtherMEDICAL MUTUAL OF OHIO
311645431OtherAETNA