MEDICARE: DR. RONALD AUSTIN MEEKER OD

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	OPT.0003908	CO
2	152W00000X	Optometrist	OPT-OPT-LIC-4597	MT
3	152W00000X	Optometrist	0618003176	VA
4	152W00000X	Optometrist	TUV004544	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	410010351	OTHER		RAILROAD MEDICARE
5	51462C	OTHER	NY	UPSTATE MEDICARE DIV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0679800001	OTHER	NY	MCDME
2	161005014	OTHER	NY	AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	10034165	OTHER	NY	CDPHP
7	598135	OTHER	NY	MVP

General Provider Information

NPI Number	:	1194728188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD AUSTIN MEEKER OD

Provider Business Mailing Address
First Line	:	157 FRONT ST
Second Line	:
City	:	VESTAL
State	:	NY
Zip	:	13850-1511
Country	:	US
Telephone Number	:	607-754-4426
Fax Number	:

Provider Business Practice Location Address
First Line	:	157 FRONT ST
Second Line	:
City	:	VESTAL
State	:	NY
Zip	:	13850-1511
Country	:	US
Telephone Number	:	607-754-4426
Fax Number	:	607-754-0464

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	05/04/2023

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