NPI 1104859461

Bruce Edwin Reid, OD

Practitioner Optometrist Kennesaw, GA

Practice location

Address: 400 Ernest W Barrett Pkwy NW Suite 297, Kennesaw, GA 30144-4917
Phone: (770) 421-1734

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1114T (GA)

Other Optometrist providers in Georgia →

Registry record

NPI: 1104859461
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jul 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.