Provider Demographics
NPI:1528063526
Name:REED, STEPHEN Y (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:Y
Last Name:REED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2062
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43603-2062
Mailing Address - Country:US
Mailing Address - Phone:734-243-5300
Mailing Address - Fax:734-243-9956
Practice Address - Street 1:1036 ABBEY RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48161-9067
Practice Address - Country:US
Practice Address - Phone:734-457-6580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301052712207W00000X
OH35062636207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI102824785Medicaid
OH0910081Medicaid
MI180014456Medicare PIN
MI0N14190Medicare PIN
MIF22200Medicare UPIN
OH0910081Medicaid
OH1064600003Medicare NSC
OH9310793Medicare PIN
OH0721563Medicare PIN
MIN14190001Medicare PIN
OH9310791Medicare PIN
OH9310794Medicare PIN
OH1064600002Medicare NSC
OH180046364Medicare PIN