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:
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Health care specialties

SpecialtyCodeLicense #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 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104896455 NPPES
Florida MEDICAID 621349900

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