Provider Demographics
NPI:1467796292
Name:REID OPTOMETRY, PC
Entity Type:Organization
Organization Name:REID OPTOMETRY, PC
Other - Org Name:THE MEADOWS FAMILY EYE CARE, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/ OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:303-660-6005
Mailing Address - Street 1:3745 DACORO LN STE 100
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-2514
Mailing Address - Country:US
Mailing Address - Phone:303-660-6005
Mailing Address - Fax:303-660-6095
Practice Address - Street 1:3745 DACORO LN STE 100
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-2514
Practice Address - Country:US
Practice Address - Phone:303-660-6005
Practice Address - Fax:303-660-6095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-16
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2795332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier