Mead, Charles R
Mead, Charles R is an sole proprietor health care provider with primary practice located at 1502 Woodlane Dr , Woodbury MN 55125-2221. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mead, Charles R can be contacted via phone (651) 735-9550.Contact Information
Primary practice address
1502 Woodlane Dr
Woodbury MN 55125-2221
Phone: (651) 735-9550
Fax: (651) 735-9322
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | LD1642000 | Minnesota |
Profile Details
| NPI number | 1932129905 |
|---|---|
| LBN Legal business name | Mead, Charles R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Feb 23rd, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932129905 | NPPES |
| Minnesota | MEDICAID | 123023900 | |
| Minnesota | Other | 25841ME | |
| Minnesota | Other | 2202721 | |
| Minnesota | Other | 110992 | |
| Minnesota | Other | 21-15729 | |
| Minnesota | Other | 107964 | |
| Minnesota | Other | 622001 | |
| Minnesota | Other | 410038747 | |
| Minnesota | Other | 580610207 |
Popular Providers
-
Chepulis, Scott P
1785 Radio Dr Ste B , Woodbury MN 55125-5400 -
Falk, Gregory Michael
10240 Hudson Rd Wal-Mart Vision Center, Woodbury MN 55129-9111 -
Hickson, Ann M
237 Radio Dr Ste 100 , Woodbury MN 55125-4478 -
Hein, Alan E.
2080 Woodwinds Dr Ste 110 , Woodbury MN 55125-2537 -
Thiem, Eric J
2070 Eagle Creek Ln Ste 200 , Woodbury MN 55129-3217 -
Kaminski, Sara Spear
449 Commerce Drive , Woodbury MN 55129-4207 -
Horner, John Patrick
8360 City Centre Dr , Woodbury MN 55125-3381 -
Kilgore, Douglas F
7150 Valley Creek Plz Ste 216 , Woodbury MN 55125-2271