DR. KEVEN CHARLES REED (NPI# 1104896455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104896455 |
| Entity Type | Individual |
| Full Name | DR. KEVEN CHARLES REED |
| Credential | O.D. |
| Practice Address |
905 Park Ave Ste 100 Orange Park FL 32073-4110 |
| Mailing Address |
1651 Country Walk Dr Fleming Island FL 32003-8614 |
| Practice Telephone | 9042641206 |
| Practice Fax Number | 9042643685 |
| Mailing Telephone | 9045057277 |
| Mailing Fax Number | 9042643685 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2013-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC 1365 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 621349900 | 05 |
| Street Address |
905 PARK AVE STE 100 |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073-4110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669769287 | Virginia Monteith Hodges | Optometrist | 905 Park Ave Ste 100, Orange Park, FL 32073-4110 | 2011-07-03 |
| 1336436948 | Jacob Hodges | Optometrist | 905 Park Ave Ste 100, Orange Park, FL 32073-4110 | 2011-07-03 |
| 1417280769 | Erica Lynn Poole | Optometrist | 905 Park Ave Ste 100, Orange Park, FL 32073-4110 | 2009-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902438286 | Clarity Eye Center Pa | Optometrist | 1075 Oakleaf Plantation Pkwy Ste 300, Orange Park, FL 32065-3625 | 2020-02-05 |
| 1396115952 | Myeyedr. Optometry of Florida, LLC | Optometrist | 195 Blanding Blvd, Ste 3, Orange Park, FL 32073-3388 | 2015-09-25 |
| 1710381876 | Frank W. Bowden, IIi, Md, Facs, Pa | Optometrist | 1008 Park Ave, Suite 140, Orange Park, FL 32073-4112 | 2014-10-20 |
| 1841539582 | Daniel Max & Marcandrea LLC | Optometrist | 280 Blanding Blvd # 1, Orange Park, FL 32073-3362 | 2013-01-31 |
| 1386805190 | Nichole Lauren Hruban | Optometrist | 901 Blanding Blvd, Orange Park, FL 32065-6299 | 2008-06-24 |
| 1922146331 | Dortheanne J Roberts | Optometrist | 1911 Wells Rd, Orange Park, FL 32073-1702 | 2007-02-01 |
| 1891876314 | Alan Franklin Swinehart | Optometrist | 661 Blanding Blvd, Wal Mart Vision Center, Orange Park, FL 32073-5048 | 2006-10-18 |
| 1356434336 | Cindy Nennig Mack | Optometrist | 88 Blanding Blvd, Orange Park, FL 32073-2601 | 2006-10-02 |
| 1164440046 | Hilda Yadira Hite | Optometrist | 58 Blanding Blvd, Orange Park, FL 32073-2625 | 2006-07-18 |
| 1801850839 | Melanie C Javier | Optometrist | 2023 Professional Center Drive, Orange Park, FL 32073 | 2006-04-14 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.