Provider Demographics
NPI:1972655686
Name:DR. DONNA REED PLLC
Entity Type:Organization
Organization Name:DR. DONNA REED PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:603-526-4043
Mailing Address - Street 1:PO BOX 1427
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:NH
Mailing Address - Zip Code:03257-1427
Mailing Address - Country:US
Mailing Address - Phone:603-526-4043
Mailing Address - Fax:603-526-6949
Practice Address - Street 1:197 MAIN ST.
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:NH
Practice Address - Zip Code:03257-1427
Practice Address - Country:US
Practice Address - Phone:603-526-4043
Practice Address - Fax:603-526-6949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0712152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHRE8959Medicare PIN
NH6082540001Medicare NSC
NHU84500Medicare UPIN