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NPI Code Detail

MEDICARE: REBECCA LEIGH MEREDITH OD

MEDICARE: REBECCA LEIGH MEREDITH OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist0618002805VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821650615
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA LEIGH MEREDITH OD
Provider Business Mailing Address
First Line : 226 FORT LN
Second Line :
City : PORTSMOUTH
State : VA
Zip : 23704-2220
Country : US
Telephone Number : 757-393-6131
Fax Number : 757-393-0976
Provider Business Practice Location Address
First Line : 226 FORT LN
Second Line :
City : PORTSMOUTH
State : VA
Zip : 23704-2220
Country : US
Telephone Number : 757-393-6131
Fax Number : 757-393-0976
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2019
Last Update Date : 10/14/2025

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Directions to “ REBECCA LEIGH MEREDITH OD” Practice Location

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