Healthcare Provider Details

I. General information

NPI: 1093246316
Provider Name (Legal Business Name): MEGHAN HERMANSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2017
Last Update Date: 07/10/2021
Certification Date: 07/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4777 E GALBRAITH RD
CINCINNATI OH
45236-2725
US

IV. Provider business mailing address

4445 LAKE FOREST DR STE 600
BLUE ASH OH
45242-3744
US

V. Phone/Fax

Practice location:
  • Phone: 513-686-5446
  • Fax: 513-686-6868
Mailing address:
  • Phone: 513-569-3741
  • Fax: 513-984-4240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number35142234
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: