Meadows, Mark K.

Meadows, Mark K. is an individual health care provider with primary practice located at 3449 George Washington Memorial Hwy , Hayes VA 23072-3100. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Meadows, Mark K. can be contacted via phone (804) 642-2290.

Contact Information

Primary practice address
3449 George Washington Memorial Hwy Hayes VA 23072-3100
Phone: (804) 642-2290
Fax: (804) 684-2166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X #0601800484 Virginia

Profile Details

NPI number 1104812536
LBN Legal business name Meadows, Mark K.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated May 21st, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104812536 NPPES
Virginia MEDICAID 010026911

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