Provider Demographics
NPI:1598213480
Name:WEST, REED
Entity Type:Individual
Prefix:
First Name:REED
Middle Name:
Last Name:WEST
Suffix:
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:PO BOX 420166
Mailing Address - Street 2:
Mailing Address - City:SUMMERLAND KEY
Mailing Address - State:FL
Mailing Address - Zip Code:33042-0166
Mailing Address - Country:US
Mailing Address - Phone:239-471-9745
Mailing Address - Fax:305-743-6927
Practice Address - Street 1:2357 OVERSEAS HWY
Practice Address - Street 2:
Practice Address - City:MARATHON
Practice Address - State:FL
Practice Address - Zip Code:33050-2231
Practice Address - Country:US
Practice Address - Phone:305-743-6939
Practice Address - Fax:305-743-6927
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-20
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC2138152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist