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General NPI Number Information
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NPI Number | 1407288962
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Entity Type | Individual
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Provider Name | MEGAN M ANDREWS O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/06/2013
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Last Update Date | 07/29/2021
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Provider Practice Location Address
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Address Line | 426 W MAIN ST
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City | SALEM
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State | VA
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Zip | 24153-3610
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Country | US
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Telephone | 403-444-4000
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Fax | 540-342-4373
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Provider Business Mailing Address
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Address Line | PO BOX 1789
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City | ROANOKE
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State | VA
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Zip | 24008-1789
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618002249
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License Number State | VA
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