NPI Code Details Logo

NPI 1710361159

NPI 1710361159 : CHRISTOPHER SCOTT MEYER O.D. : OWENSBORO, KY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1710361159
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    CHRISTOPHER SCOTT MEYER O.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/15/2015
-----------------------------------------------------
    Last Update Date     |    03/18/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1705 FREDERICA ST 
-----------------------------------------------------
    City                 |    OWENSBORO
-----------------------------------------------------
    State                |    KY
-----------------------------------------------------
    Zip                  |    42301-4814
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    270-683-2121
-----------------------------------------------------
    Fax                  |    270-683-3167
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1705 FREDERICA ST 
-----------------------------------------------------
    City                 |    OWENSBORO
-----------------------------------------------------
    State                |    KY
-----------------------------------------------------
    Zip                  |    42301-4814
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    270-683-2121
-----------------------------------------------------
    Fax                  |    270-683-3167
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    152W00000X
-----------------------------------------------------
    Taxonomy Name        |    Optometrist
-----------------------------------------------------
    License Number       |    18003912A
-----------------------------------------------------
    License Number State |    IN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    152W00000X
-----------------------------------------------------
    Taxonomy Name        |    Optometrist
-----------------------------------------------------
    License Number       |    1989DT
-----------------------------------------------------
    License Number State |    KY
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.