Healthcare Provider Details

I. General information

NPI: 1013245273
Provider Name (Legal Business Name): PATRICK MICHAEL MEADE OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2009
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIT 3215
APO AE
09094-3215
US

IV. Provider business mailing address

UNIT 3215
APO AE
09094-3215
US

V. Phone/Fax

Practice location:
  • Phone: 314-479-2349
  • Fax:
Mailing address:
  • Phone: 314-479-2349
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number491004712
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: