Reece, Jedediah
Reece, Jedediah is an sole proprietor health care provider with primary practice located at 440 E Tampa St , Springfield MO 65806-1131. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Reece, Jedediah can be contacted via phone (417) 831-0150.Contact Information
Primary practice address
440 E Tampa St
Springfield MO 65806-1131
Phone: (417) 831-0150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2023017148 | Missouri |
Profile Details
| NPI number | 1295116333 |
|---|---|
| LBN Legal business name | Reece, Jedediah |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2015 |
| Last updated | May 1st, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295116333 | NPPES |
| Missouri | MEDICAID | 310123736 |
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