MEDICARE: DR. MEREY HANNALLA 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	36246	CA

General Provider Information

NPI Number	:	1558295436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEREY HANNALLA OD

Provider Business Mailing Address
First Line	:	10441 STANFORD AVE UNIT 2031
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92842-5311
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10441 STANFORD AVE UNIT 2031
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92842-5311
Country	:	US
Telephone Number	:	949-357-0615
Fax Number	:

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

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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