Provider Demographics
NPI:1700496940
Name:READER, OLIVIA KATE (OD)
Entity Type:Individual
Prefix:DR
First Name:OLIVIA
Middle Name:KATE
Last Name:READER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:MS
Mailing Address - Zip Code:38834-4842
Mailing Address - Country:US
Mailing Address - Phone:662-415-0480
Mailing Address - Fax:
Practice Address - Street 1:1804 E SHILOH RD
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:MS
Practice Address - Zip Code:38834-3637
Practice Address - Country:US
Practice Address - Phone:662-212-9001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-03
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1009152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist