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NPI Code Detail

MEDICARE: DR. C. KELLY MEYER O.D.

MEDICARE: DR. C. KELLY MEYER O.D.
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
1152W00000XOptometristOEG001211PA

General Provider Information

NPI Number : 1861528416
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. C. KELLY MEYER O.D.
Provider Business Mailing Address
First Line : 138 WOODVIEW DR
Second Line :
City : QUAKERTOWN
State : PA
Zip : 18951-2289
Country : US
Telephone Number : 215-536-0612
Fax Number :
Provider Business Practice Location Address
First Line : 721 S WEST END BLVD
Second Line :
City : QUAKERTOWN
State : PA
Zip : 18951-2613
Country : US
Telephone Number : 215-538-0538
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2007
Last Update Date : 07/08/2007

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Directions to “ DR. C. KELLY MEYER O.D.” Practice Location

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