Richard Stephen Reagin O.D.

NPI 1679653174 - Optometrist - 152W00000X

NPI Details
NPI 1679653174
Gender Male
Enumeration Date 10/17/2006
Last Updated 07/13/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
104 CHURCH ST
DECATUR GA, 30030-3325, US
Phone (404) 378-3694
Fax (404) 373-0741
Business Location
104 CHURCH ST
DECATUR GA, 30030-3325, US
Phone (404) 378-3694
Fax (404) 373-0741
Toxanomy
Taxonomy Code 152W00000X
License State Georgia
License Number 1149T
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According to our database, Richard Stephen Reagin O.D. NPI is 1679653174, taxonomy code is 152W00000X and license number is 1149T, license state is located at Georgia. Richard Stephen Reagin O.D. physically located at 104 Church St, Decatur GA, 30030-3325. NPI Number Richard Stephen Reagin O.D. has the Individual type.

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1679653174 NPI number is provided on an as is basis without warranty of any kind. 1679653174 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Stephen Reagin O.D. are for informational purposes only.