Provider Demographics
NPI:1871141911
Name:REED, RACHEL LAUREN (OD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:LAUREN
Last Name:REED
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4831A PROCTOR RD
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-1449
Mailing Address - Country:US
Mailing Address - Phone:614-595-7122
Mailing Address - Fax:
Practice Address - Street 1:2400 MONUMENT BLVD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-3105
Practice Address - Country:US
Practice Address - Phone:925-671-7799
Practice Address - Fax:925-671-7799
Is Sole Proprietor?:No
Enumeration Date:2019-09-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34348TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist