MEDICARE: DAVID A MEYER 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	7366943-8908	UT

General Provider Information

NPI Number	:	1255562740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID A MEYER OD

Provider Business Mailing Address
First Line	:	6412 S 900 E
Second Line	:	SUITE 101
City	:	MURRAY
State	:	UT
Zip	:	84121-6048
Country	:	US
Telephone Number	:	801-892-8222
Fax Number	:

Provider Business Practice Location Address
First Line	:	6412 S 900 E
Second Line	:	SUITE 101
City	:	MURRAY
State	:	UT
Zip	:	84121-6048
Country	:	US
Telephone Number	:	801-892-8222
Fax Number	:

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

Provider Enumeration Date	:	07/31/2009
Last Update Date	:	11/22/2021

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Directions to “ DAVID A MEYER OD” Practice Location

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