Healthcare Provider Details

I. General information

NPI: 1467439901
Provider Name (Legal Business Name): BRIAN BOYD MEIER OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2005
Last Update Date: 08/08/2024
Certification Date: 08/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 W MILL ST
BAYFIELD CO
81122
US

IV. Provider business mailing address

PO BOX 2073
BAYFIELD CO
81122-2073
US

V. Phone/Fax

Practice location:
  • Phone: 970-884-2020
  • Fax: 970-884-2977
Mailing address:
  • Phone: 970-884-2020
  • Fax: 970-884-2977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2642
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: