Reed, Tesia

Reed, Tesia is an individual health care provider with primary practice located at 1469 Starfish Ln , Sycamore IL 60178-8621. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Reed, Tesia can be contacted via phone (773) 968-2152.

Contact Information

Primary practice address
1469 Starfish Ln Sycamore IL 60178-8621
Phone: (773) 968-2152
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT-002688 Arizona
Eye and Vision Services Providers / Optometrist 152W00000X OPT-OPT-LIC-3977 Montana
Eye and Vision Services Providers / Optometrist 152W00000X OEG004021 Pennsylvania
Eye and Vision Services Providers / Optometrist 152W00000X 3890-35 Wisconsin
Eye and Vision Services Providers / Optometrist 152W00000X 046-011470 Illinois
Eye and Vision Services Providers / Optometrist 152W00000X TPOP67 Florida

Profile Details

NPI number 1104388800
LBN Legal business name Reed, Tesia
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2019
Last updated Jun 27th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104388800 NPPES
Illinois MEDICAID 046011470

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