John W Reed OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

189 Issued in AZ

Legal business name

JOHN W REED OD LLC

Practice address

1356 S Gilbert Rd Ste 3
Mesa, AZ 85204-6077

Phone

(480) 545-9120

Fax

(480) 545-9384

NPI assigned

Nov 18, 2011

Organization subpart

No

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

Authorized official

Name

Dr. John W Reed, O.D.

Title

Sole Member

Phone

(480) 545-9120

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1932476983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 S GILBERT RD STE 3",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046077",
            "telephone_number": "480-545-9120",
            "fax_number": "480-545-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 S GILBERT RD STE 3",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046077",
            "telephone_number": "480-545-9120",
            "fax_number": "480-545-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W REED OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "480-545-9120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AZ",
            "identifier": "AZ0906040",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah M. Johansen, LPC, CLINICAL SUP.
• Sara Johansen, NP
• John D Holmes MD PC
• John M Morris DDS PLLC
• John Patterson DMD
• John W. Taylor, DDS, PLLC
• Alyssa Johns, LM, CPM
• Amy Johns, MS,CCC-SLP
• Amy Elizabeth Johns
• Bryson Johns

• Optometrist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.