Lawrence E Reedy, OD - Optometrist in Portland, OR

Lawrence E Reedy, OD is a Optometrist based in Portland, Oregon. Lawrence E Reedy is licensed to practice in Oregon (license number 1361ATI) and his current practice location is 16114 Nw Canterwood Way, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at (503) 430-0487.

NPI number for Lawrence E Reedy is 1104858992 and his current mailing address is 16114 Nw Canterwood Way, Portland, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104858992.

Contact Information

Lawrence E Reedy, OD
16114 Nw Canterwood Way,
Portland, OR 97229-7848
(503) 430-0487
(503) 430-0487



Healthcare Provider's Profile

Full NameLawrence E Reedy
GenderMale
SpecialityOptometrist
Location16114 Nw Canterwood Way, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104858992
  • Provider Enumeration Date: 07/06/2006
  • Last Update Date: 07/16/2007

Medical Identifiers

Medical identifiers for Lawrence E Reedy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104858992NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 1361ATI (Oregon)Primary
152W00000XOptometrist OD00001178 (Washington)Secondary
152W00000XOptometrist 1494 (Arizona)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lawrence E Reedy is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lawrence E Reedy, OD
16114 Nw Canterwood Way,
Portland, OR 97229-7848

Ph: (503) 430-0487
Lawrence E Reedy, OD
16114 Nw Canterwood Way,
Portland, OR 97229-7848

Ph: (503) 430-0487

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