MEDICARE: DR. LEA ANN MENEAR O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	I3-0001413	DE
2	152W00000X	Optometrist	OEG001543	PA

General Provider Information

NPI Number	:	1003811183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEA ANN MENEAR O.D.

Provider Business Mailing Address
First Line	:	412 W MAGNOLIA AVE
Second Line	:	APT B
City	:	ALDAN
State	:	PA
Zip	:	19018-3707
Country	:	US
Telephone Number	:	610-623-0006
Fax Number	:

Provider Business Practice Location Address
First Line	:	2710 CENTERVILLE RD STE 102
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19808-1652
Country	:	US
Telephone Number	:	302-993-1300
Fax Number	:	302-993-1400

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	11/07/2019

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Directions to “ DR. LEA ANN MENEAR O.D.” Practice Location

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