Healthcare Provider Details

I. General information

NPI: 1770214983
Provider Name (Legal Business Name): MATTHEW D MEYER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2022
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 WESTOWN PKWY STE 200
WEST DES MOINES IA
50266-8222
US

IV. Provider business mailing address

5901 WESTOWN PKWY STE 200
WEST DES MOINES IA
50266-8222
US

V. Phone/Fax

Practice location:
  • Phone: 515-225-3546
  • Fax: 515-224-5946
Mailing address:
  • Phone: 515-225-3546
  • Fax: 515-224-5946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD-57325
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: