Reyes, Joseph

Reyes, Joseph is an individual health care provider with primary practice located at 26381 S Tamiami Trl Ste 112, Bonita Springs FL 34134-7803. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Reyes, Joseph can be contacted via phone (239) 992-2020.

Contact Information

Primary practice address
26381 S Tamiami Trl Ste 112 Bonita Springs FL 34134-7803
Fax: (239) 992-2005
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC3045 Florida

Profile Details

NPI number 1477505808
LBN Legal business name Reyes, Joseph
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Apr 24th, 2024 - about 5 months 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 1477505808 NPPES
Florida Other 7084213 AETNA
Florida MEDICAID 620218700 AETNA
Florida Other 7023203 AETNA
Florida Other 20730 AETNA

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