Provider Demographics
NPI:1669467130
Name:REED, KAREN D (OD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:D
Last Name:REED
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:D
Other - Last Name:DUCKWORTH-REED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:10900 LINCOLN TRL
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:62208-2042
Mailing Address - Country:US
Mailing Address - Phone:618-398-5005
Mailing Address - Fax:618-398-5007
Practice Address - Street 1:10900 LINCOLN TRL
Practice Address - Street 2:
Practice Address - City:FAIRVIEW HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:62208-2042
Practice Address - Country:US
Practice Address - Phone:618-398-5005
Practice Address - Fax:618-852-1930
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-12
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001029102152W00000X
IL046011059152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO24892OtherOPTICARE / MED. COMPLETE
MO40143OtherHEALTHCARE USA
44085OtherDAVIS VISION
MOP00402861OtherRR MEDICARE
117888OtherEYEMED
MO410048084OtherRAILROAD MEDICARE
MO674121OtherHELATHLINK
MO22-00537OtherUHC
IL410048084OtherRR MEDICARE
MO110975OtherEYEMED
155710OtherBLUE CROSS BLUE SHIELD
IL410048084OtherRR MEDICARE
MO24892OtherOPTICARE / MED. COMPLETE
MOP00402861OtherRR MEDICARE
MO40143OtherHEALTHCARE USA
MO000091346Medicare PIN
MO000091335Medicare PIN