MEDICARE: DR. STEPHEN F MEYERS MD

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	207W00000X	Ophthalmology Physician	K17308	KY

Other Identifiers

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

General Provider Information

NPI Number	:	1598983751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN F MEYERS MD

Provider Business Mailing Address
First Line	:	1501 ALEXANDRIA PIKE
Second Line	:
City	:	FORT THOMAS
State	:	KY
Zip	:	41075-2561
Country	:	US
Telephone Number	:	859-781-3110
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 ALEXANDRIA PIKE
Second Line	:
City	:	FORT THOMAS
State	:	KY
Zip	:	41075-2561
Country	:	US
Telephone Number	:	859-781-3110
Fax Number	:

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

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	02/19/2008

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