Keven Charles Reed, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 1365 Issued in FL

Practice address

905 Park Ave Ste 100
Orange Park, FL 32073-4110

Phone

(904) 264-1206

Fax

(904) 264-3685

NPI assigned

Jan 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Florida Vision Services, Inc.

  • Optometrist
  • Fort Lauderdale, FL
  • NPI 1912032566
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369872000000",
    "number": "1104896455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 COUNTRY WALK DR",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038614",
            "telephone_number": "904-505-7277",
            "fax_number": "904-264-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 PARK AVE STE 100",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734110",
            "telephone_number": "904-264-1206",
            "fax_number": "904-264-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "KEVEN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2013-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 1365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621349900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rama T Reddy, MD
• Redefined Birthing Doula Services
• Mary D Redfearn
• Andrea Winsor Redlitz
• Douglas Mark Reed, D.D.S.
• Maria Reed, MSN, PMHNP-BC
• Angela N Reemelin, RD
• Ashley Reese
• Anne Teresa Hesson Reeser, ARNP
• Regal Furniture Inc

• Optometrist in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.