Basic Information
| Provider Information | |||||||||
| NPI: | 1962064246 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | GEORGE W. REED OD LTD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9542 PARAGON MILLS LN | ||||||||
| Address2: | |||||||||
| City: | DAYTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 454584188 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9377764772 | ||||||||
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| Practice Location | |||||||||
| Address1: | 400 N MAIN ST | ||||||||
| Address2: | |||||||||
| City: | PIQUA | ||||||||
| State: | OH | ||||||||
| PostalCode: | 453562318 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9377738023 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/08/2019 | ||||||||
| LastUpdateDate: | 07/08/2019 | ||||||||
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| AuthorizedOfficialLastName: | REED | ||||||||
| AuthorizedOfficialFirstName: | GEORGE | ||||||||
| AuthorizedOfficialMiddleName: | WILLIAM | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9377764772 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | OD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2300X | Y | Ambulatory Health Care Facilities | Clinic/Center | Primary Care |
No ID Information.