Provider Demographics
NPI:1598883084
Name:REED, CURTIS (OD)
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:
Last Name:REED
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001A GRELOT RD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-3609
Mailing Address - Country:US
Mailing Address - Phone:251-304-0123
Mailing Address - Fax:251-344-4333
Practice Address - Street 1:6001A GRELOT RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-3609
Practice Address - Country:US
Practice Address - Phone:251-304-0123
Practice Address - Fax:251-344-4333
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-569-TA-118152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000059791Medicaid
410005768OtherMEDICARE RAILROAD
AL12576OtherHEALTHSPRING OF AL
ALT69034OtherVIVA
AL12576OtherHEALTHPLAN SERVICES
AL51059791OtherBCBS OF ALABAMA
AL22-10360OtherUNITED HEALTHCARE
AL22-10360OtherUNITED HEALTHCARE
000059791Medicare ID - Type UnspecifiedMEDICARE