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General NPI Number Information
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NPI Number | 1790812626
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Entity Type | Organization
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Legal Business Name | JOHN L. MEYERS, OD PA
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9408 US HIGHWAY 19 #504
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City | PORT RICHEY
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State | FL
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Zip | 34668-4623
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Country | US
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Telephone | 727-845-5506
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Fax | 727-842-6618
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Provider Business Mailing Address
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Address Line | 9408 US HIGHWAY 19 #504
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City | PORT RICHEY
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State | FL
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Zip | 34668-4623
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Country | US
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Telephone | 727-845-5506
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Fax | 727-842-6618
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN L MEYERS
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Credential | OD
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Telephone | 727-845-5506
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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 | FL3195
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License Number State | FL
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