Mark K. Meadows O.D.

NPI 1104812536 - Optometrist - 152W00000X

NPI Details
NPI 1104812536
Gender Male
Enumeration Date 09/21/2005
Last Updated 05/21/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
3449 GEORGE WASHINGTON MEMORIAL HWY
HAYES VA, 23072-3100, US
Phone (804) 642-2290
Fax (804) 684-2166
Business Location
3449 GEORGE WASHINGTON MEMORIAL HWY
HAYES VA, 23072-3100, US
Phone (804) 642-2290
Fax (804) 684-2166
Toxanomy
Taxonomy Code 152W00000X
License State Virginia
License Number #0601800484
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According to our database, Dr. Mark K. Meadows O.D. NPI is 1104812536, taxonomy code is 152W00000X and license number is #0601800484, license state is located at Virginia. Mark K. Meadows O.D. physically located at 3449 George Washington Memorial Hwy, Hayes VA, 23072-3100. NPI Number Mark K. Meadows O.D. has the Individual type.

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1104812536 NPI number is provided on an as is basis without warranty of any kind. 1104812536 is maintained by the National Plan & Provider Enumeration System. The contents of Mark K. Meadows O.D. are for informational purposes only.