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NPI Code Detail

MEDICARE: DR. ANNE MECCARIELLO

MEDICARE: DR. ANNE MECCARIELLO
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
1152W00000XOptometrist0618000325VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295735587
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANNE MECCARIELLO
Provider Business Mailing Address
First Line : 9314 OLD KEENE MILL RD
Second Line :
City : BURKE
State : VA
Zip : 22015-4284
Country : US
Telephone Number : 703-569-3131
Fax Number : 703-451-9291
Provider Business Practice Location Address
First Line : 9314 OLD KEENE MILL RD
Second Line :
City : BURKE
State : VA
Zip : 22015-4284
Country : US
Telephone Number : 703-569-3131
Fax Number : 703-451-9291
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 09/17/2008

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Directions to “ DR. ANNE MECCARIELLO ” Practice Location

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