Basic Information
| Provider Information | |||||||||
| NPI: | 1417941378 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | REED | ||||||||
| FirstName: | GEORGE | ||||||||
| MiddleName: | W. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | O.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8711 MEADOWCREEK DR | ||||||||
| Address2: | |||||||||
| City: | DAYTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 454583359 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9377764772 | ||||||||
| FaxNumber: | 9378486101 | ||||||||
| Practice Location | |||||||||
| Address1: | 3951 W FRANKLIN ST | ||||||||
| Address2: | |||||||||
| City: | BELLBROOK | ||||||||
| State: | OH | ||||||||
| PostalCode: | 453051834 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9378486601 | ||||||||
| FaxNumber: | 9378486101 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/07/2005 | ||||||||
| LastUpdateDate: | 07/03/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | 4141 | OH | Y | Eye and Vision Services Providers | Optometrist |
No ID Information.