MEDICARE: DR. RAYMOND VICTOR MECCA M.D.

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	18044	KY
2	207W00000X	Ophthalmology Physician	32988	WV

General Provider Information

NPI Number	:	1932236700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAYMOND VICTOR MECCA M.D.

Provider Business Mailing Address
First Line	:	1448 10TH AVE STE 304
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25701-3579
Country	:	US
Telephone Number	:	304-733-8728
Fax Number	:	304-691-8591

Provider Business Practice Location Address
First Line	:	3246 US ROUTE 60 STE 6
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25705-2729
Country	:	US
Telephone Number	:	304-691-8800
Fax Number	:	304-302-0221

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

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	01/16/2024

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