Dr. Kerry M Reeves
Optometrist
131 Glensford Dr Ste 105
Fayetteville
, North Carolina 28314
Dr. Kerry M Reeves
Optometrist
131 Glensford Dr Ste 105
Fayetteville
, North Carolina 28314
(910) 864-3719
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Kerry M Reeves
- 131 Glensford Dr Ste 105
- Fayetteville, NC
- Zip : 28314-2365
- Fax : (910) 864-3719
- Phone : (910) 860-2020
Second Address
- Dr. Kerry M Reeves
- 131 Glensford Dr Ste 105
- Fayetteville, NC
- Zip : 28314
- Fax : (910) 864-3719
- Phone : (910) 860-2020
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | NC1779 | NC |
| N | 152W00000X | Optometrist | OPT002735 | GA |
National Provider Identifier
| NPI | 1003818964 |
|---|---|
| Provider Name | Dr. Kerry M Reeves |
| First Address | Fayetteville, NC 28314-2365 |
| Second Address | Fayetteville, NC 28314 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/08/2005 |
| Last Update Date | 21/01/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 890922Y | (05) | NC |
| U77259 | (02) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.