Provider Demographics
NPI:1942393277
Name:REASONS, J. GREGORY (OD)
Entity Type:Individual
Prefix:DR
First Name:J.
Middle Name:GREGORY
Last Name:REASONS
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 1:213 MANOR BLVD
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-3649
Mailing Address - Country:US
Mailing Address - Phone:251-990-0957
Mailing Address - Fax:
Practice Address - Street 1:213 MANOR BLVD
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-3649
Practice Address - Country:US
Practice Address - Phone:251-990-0957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALR-141152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist