Reddan Eye Care, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02531 Issued in MO

Legal business name

REDDAN EYE CARE, INC.

Practice address

119 Jamestown Mall
Florissant, MO 63034-2925

Phone

(314) 741-1386

Fax

(314) 741-7782

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Joseph Reddan, O.D.

Title

President

Phone

(314) 741-1386

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1639367592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 JAMESTOWN MALL",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342925",
            "telephone_number": "314-741-1386",
            "fax_number": "314-741-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 JAMESTOWN MALL",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342925",
            "telephone_number": "314-741-1386",
            "fax_number": "314-741-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDAN EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "REDDAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-741-1386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donisha Shonta Rayner, CNA
• RCG Health Services LLC
• Reaching Back Enteprise LLC
• Timothy P Rearden, MD
• Zachary Ryan Rector
• Mark Joseph Reddan, O.D.
• Jordan Reddin, OTR/L
• Reddy Health and Performance Inc
• Deandre Redmond
• Nichol Janel Reeves, APRN ANP-C

• Optometrist in Florissant, MO
• Providers in Florissant, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.