Michael T Reeder JR.
Optometrist
332 E Aspen Ave Ste 100
Fruita
, Colorado 81521-2204
Michael T Reeder JR.
Optometrist
332 E Aspen Ave Ste 100
Fruita
, Colorado 81521-2204
(970) 858-6601
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Michael T Reeder JR.
- 332 E Aspen Ave Ste 100
- Fruita, CO
- Zip : 81521-2204
- Fax : (970) 858-6601
- Phone : (970) 858-2020
Second Address
- Michael T Reeder JR.
- 332 E Aspen Ave Ste 100
- Fruita, CO
- Zip : 81521-2204
- Fax : (970) 858-6601
- Phone : (970) 858-2020
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2916 | CO |
National Provider Identifier
| NPI | 1003175878 |
|---|---|
| Provider Name | Michael T Reeder JR. |
| First Address | Fruita, CO 81521-2204 |
| Second Address | Fruita, CO 81521-2204 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/05/2012 |
| Last Update Date | 03/03/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 10559078 | (05) | CO |
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.