Reed, Keven Charles
Reed, Keven Charles is an individual health care provider with primary practice located at 905 Park Ave Ste 100 , Orange Park FL 32073-4110. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Reed, Keven Charles can be contacted via phone (904) 264-1206.Contact Information
Primary practice address
905 Park Ave Ste 100
Orange Park FL 32073-4110
Phone: (904) 264-1206
Fax: (904) 264-3685
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC 1365 | Florida |
Profile Details
| NPI number | 1104896455 |
|---|---|
| LBN Legal business name | Reed, Keven Charles |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | May 30th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104896455 | NPPES |
| Florida | MEDICAID | 621349900 |
Popular Providers
-
Anguas, Edwin Norton
28 Blanding Blvd , Orange Park FL 32073-2202 -
Swinehart, Alan Franklin
661 Blanding Blvd Wal Mart Vision Center, Orange Park FL 32073-5048 -
Bowman, Christina Beth
905 Park Ave Suite 100, Orange Park FL 32073-4101 -
Villa, Carlos R
28 Blanding Blvd , Orange Park FL 32073-2202 -
Hite, Hilda Yadira
58 Blanding Blvd , Orange Park FL 32073-2625 -
Mack, Cindy Nennig
88 Blanding Blvd , Orange Park FL 32073-2601 -
Abshire, Kyle D
905 Park Ave Ste 100, Orange Park FL 32073-4101 -
Mocanu, Andreea
899 Blanding Blvd , Orange Park FL 32065-8917