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General NPI Number Information
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NPI Number | 1780021675
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Entity Type | Organization
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Legal Business Name | MEADE OPTICIANS, INC
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Dates
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Enumeration Date | 05/31/2013
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Last Update Date | 05/31/2013
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Provider Practice Location Address
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Address Line | 7785 N STATE ST
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City | LOWVILLE
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State | NY
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Zip | 13367-1229
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Country | US
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Telephone | 315-376-8159
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Fax | 315-376-8984
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Provider Business Mailing Address
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Address Line | 7785 N STATE ST
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City | LOWVILLE
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State | NY
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Zip | 13367-1229
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Country | US
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Telephone | 315-376-8159
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Fax | 315-376-8984
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RONALD J KNOX
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Credential | OD
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Telephone | 315-786-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | TUV004144
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License Number State | NY
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