Provider Demographics
NPI:1912277468
Name:APPLEBY, REID SIMPSON JR (MD)
Entity Type:Individual
Prefix:DR
First Name:REID
Middle Name:SIMPSON
Last Name:APPLEBY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 MIDDLE RD
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-2326
Mailing Address - Country:US
Mailing Address - Phone:401-884-8863
Mailing Address - Fax:
Practice Address - Street 1:555 MIDDLE RD
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-2326
Practice Address - Country:US
Practice Address - Phone:401-884-8863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-30
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD04065207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology