Individual provider Active NPI

Dale M. Meuler, O.D.

  • Optometrist
  • Spokane, WA
National Provider Identifier
1205954872
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00001053 Issued in WA
Practice address
6821 N Country Homes Blvd Ste 101
Spokane, WA 99208-4373
Phone
(509) 344-2020
Fax
(509) 344-2021
NPI assigned
Mar 26, 2007
Last updated
Oct 18, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD00001053 WA Primary

Addresses

Primary practice location

6821 N Country Homes Blvd Ste 101
Spokane, WA 99208-4373

Mailing address

6821 N Country Homes Blvd Ste 101
Spokane, WA 99208-4373
Phone (509) 344-2020

Other identifiers 1

IdentifierTypeStateIssuer
2024156MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1053WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Vision Center, P.S. Optometrist Past Accepting new patients
Five Mile Eye Care Inc Optometrist PastSince Dec 1, 2000 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1205954872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6821 N COUNTRY HOMES BLVD STE 101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084373",
            "telephone_number": "509-344-2020",
            "fax_number": "509-344-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 N COUNTRY HOMES BLVD STE 101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084373",
            "telephone_number": "509-344-2020",
            "fax_number": "509-344-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEULER",
        "first_name": "DALE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2024156",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.