Provider Demographics
NPI:1689737652
Name:REEVES, DON A (OD)
Entity Type:Individual
Prefix:
First Name:DON
Middle Name:A
Last Name:REEVES
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3429 N TWIN CITY HWY
Mailing Address - Street 2:
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77642-2102
Mailing Address - Country:US
Mailing Address - Phone:409-963-0173
Mailing Address - Fax:409-962-8405
Practice Address - Street 1:3429 N TWIN CITY HWY
Practice Address - Street 2:
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-2102
Practice Address - Country:US
Practice Address - Phone:409-963-0173
Practice Address - Fax:409-962-8405
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX02064T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80637EMedicare PIN
TXT15484Medicare UPIN