Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 2960 | OH |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 2960 | OH |
NPI | 1306831631 |
---|---|
Provider Name | Dr. William U Reeves |
First Address | Kent, OH 44240-2524 |
Second Address | Kent, OH 44240-2524 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2005 |
Last Update Date | 29/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0154685 | (05) | OH |