Provider Demographics
NPI:1477620409
Name:REITER, JOHN FOSTER JR
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:FOSTER
Last Name:REITER
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 E TEXAS AVE
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77520-5255
Mailing Address - Country:US
Mailing Address - Phone:281-422-8339
Mailing Address - Fax:
Practice Address - Street 1:114 E TEXAS AVE
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77520-5255
Practice Address - Country:US
Practice Address - Phone:281-422-8339
Practice Address - Fax:281-427-1329
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician