Healthcare Provider Details

I. General information

NPI: 1003282856
Provider Name (Legal Business Name): MEGAN WERLING OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2015
Last Update Date: 09/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 MONTGOMERY RD
CINCINNATI OH
45236-4388
US

IV. Provider business mailing address

7800 MONTGOMERY RD SPACE 5
CINCINNATI OH
45236
US

V. Phone/Fax

Practice location:
  • Phone: 513-793-5970
  • Fax: 513-793-5976
Mailing address:
  • Phone: 513-793-5970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number6416T3333
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: