Provider Demographics
NPI:1427043751
Name:REID, FRANCIS RANDOLPH (MD)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:RANDOLPH
Last Name:REID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 AMANDA DR
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830
Mailing Address - Country:US
Mailing Address - Phone:865-483-3080
Mailing Address - Fax:865-482-7400
Practice Address - Street 1:132 AMANDA DR
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830
Practice Address - Country:US
Practice Address - Phone:865-483-3080
Practice Address - Fax:865-482-7400
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000009397207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3168772Medicaid
B03298Medicare UPIN
TN3168772Medicaid