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General NPI Number Information
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NPI Number | 1811049901
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Entity Type | Organization
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Legal Business Name | MEYER AND ASSOCIATES OPTOMETRY, PC
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 04/01/2013
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Provider Practice Location Address
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Address Line | 160 LAKEVIEW DR
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City | NOBLESVILLE
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State | IN
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Zip | 46060-1307
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Country | US
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Telephone | 317-773-4482
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Fax | 317-770-3796
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Provider Business Mailing Address
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Address Line | 160 LAKEVIEW DR
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City | NOBLESVILLE
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State | IN
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Zip | 46060-1307
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Country | US
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Telephone | 317-773-4482
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Fax | 317-776-2520
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. C. DANA MEYER
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Credential | O.D.
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Telephone | 317-773-4482
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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 | 18001746A
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License Number State | IN
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