Healthcare Provider Details

I. General information

NPI: 1467761015
Provider Name (Legal Business Name): MEEHAN EYE CARE AND ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2010
Last Update Date: 02/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 TILDEN RIDGE DR
HAMBURG PA
19526-8181
US

IV. Provider business mailing address

1800 TILDEN RIDGE DR
HAMBURG PA
19526-8181
US

V. Phone/Fax

Practice location:
  • Phone: 484-668-4012
  • Fax: 610-562-3260
Mailing address:
  • Phone: 484-668-4012
  • Fax: 610-562-3260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. BARBRA L MEEHAN
Title or Position: OWNER
Credential: OD
Phone: 484-668-4012