Provider Demographics
NPI:1508394008
Name:REEVES, CASSIE JEAN (OD)
Entity Type:Individual
Prefix:DR
First Name:CASSIE
Middle Name:JEAN
Last Name:REEVES
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:179 N CHICAGO ST
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60432-4126
Mailing Address - Country:US
Mailing Address - Phone:815-723-2020
Mailing Address - Fax:815-724-1505
Practice Address - Street 1:1516 LEGACY CIR STE 102
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-1253
Practice Address - Country:US
Practice Address - Phone:630-245-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-27
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046011097152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist