Organization Active NPI

Dr. Darrell R. Reed, Optometrist Inc.

  • Eyewear Supplier
  • Kentland, IN
National Provider Identifier
1093976755
Registry record updated Feb 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
DR. DARRELL R. REED, OPTOMETRIST INC.
Practice address
105 N 3Rd St
Kentland, IN 47951-1211
Phone
(219) 474-6334
NPI assigned
Jun 24, 2008
Last updated
Feb 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Darrell R. Reed I, O.D.
Title
Owner
Phone
(219) 474-6334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

105 N 3Rd St
Kentland, IN 47951-1211

Mailing address

105 N 3Rd St
Kentland, IN 47951-1211
Phone (219) 474-6334

National Provider Directory

National Provider Directory

Locations

105 N 3rd St
Kentland, IN 47951
Phone (219) 474-6334

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233878400000",
    "number": "1093976755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N 3RD ST",
            "city": "KENTLAND",
            "state": "IN",
            "postal_code": "479511211",
            "telephone_number": "219-474-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N 3RD ST",
            "city": "KENTLAND",
            "state": "IN",
            "postal_code": "479511211",
            "telephone_number": "219-474-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DARRELL R. REED, OPTOMETRIST INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2009-02-06",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-474-6334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.