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NPI Code Detail

MEDICARE: DIANA MEDDLES

MEDICARE:   DIANA  MEDDLES
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
1156FX1800XOptician017806-SOH

General Provider Information

NPI Number : 1992636823
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA MEDDLES
Provider Business Mailing Address
First Line : 2281 S MAIN STREET
Second Line :
City : BELLEFONTAINE
State : OH
Zip : 43311
Country : US
Telephone Number : 937-539-9019
Fax Number :
Provider Business Practice Location Address
First Line : 2281 S MAIN STREET
Second Line :
City : BELLEFONTAINE
State : OH
Zip : 43311
Country : US
Telephone Number : 937-539-9019
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2026
Last Update Date : 05/28/2026

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Directions to “ DIANA MEDDLES ” Practice Location

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