Individual provider Active NPI

Paulo Mendes Correa-Meyer, MD

  • Ophthalmology Physician
  • Wayne, PA
National Provider Identifier
1407966526
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD039225L Issued in PA
Practice address
295 Old Eagle School Road
Ste 1
Wayne, PA 19087-2697
Phone
(610) 964-9800
Fax
(610) 964-9858
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD039225L PA Primary

Addresses

Primary practice location

295 Old Eagle School Road
Ste 1
Wayne, PA 19087-2697

Mailing address

295 Old Eagle School Road
Ste 1
Wayne, PA 19087-2697
Phone (610) 964-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120207000450 PA Practitioner - Ophthalmology 2163689993 Practice locations: Wayne, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407966526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 OLD EAGLE SCHOOL ROAD",
            "address_2": "STE 1",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190872697",
            "telephone_number": "610-964-9800",
            "fax_number": "610-964-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 OLD EAGLE SCHOOL ROAD",
            "address_2": "STE 1",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190872697",
            "telephone_number": "610-964-9800",
            "fax_number": "610-964-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA-MEYER",
        "first_name": "PAULO",
        "middle_name": "MENDES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD039225L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

Verify at the official NPI Registry.