Joplin Ophthalmology -W R Meredi
Organization Active NPI Ophthalmology Physician · Joplin, MO
NPI 1730100637 · NPPES record last updated Oct 13, 2010
Key facts
- NPI
- 1730100637
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- R7952 (MO)
- Legal business name
- JOPLIN OPHTHALMOLOGY -W R MEREDI
- Practice address
- 2216 E 32ND St
Ste. 202
Joplin, MO 64804-3016 - Phone
- (417) 782-2020
- Fax
- (417) 782-7861
- NPI assigned
- Jul 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. William Robert Meredith, M.D.
- Title
- President
- Phone
- (417) 782-2020
National Provider Directory
Locations
2216 E 32nd St
Joplin, MO 64804
Phone (417) 439-8283
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | R7952 | MO | Yes |
Addresses
Primary practice location
2216 E 32ND St
Ste. 202
Joplin, MO 64804-3016
Mailing address
2216 E 32ND St
Ste. 202
Joplin, MO 64804-3016
Phone (417) 782-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100257110A | Medicaid | KS | |
| 200024008 | Medicaid | MO |
Other providers in Joplin, MO
- Joplin Eye Laser Center Inc
- Joplin Internal Medicine Clinic
- Joplin Mo Caregiving LLC
- Joplin Neurosurgical Assoc., Inc.
- Joplin No 10 LLC
- Joplin Oral Surgery PC
- Joplin Pain Care Group LLC
- Joplin Pathology Professionals PC
- Joplin Pharmacy Associates
- Joplin Primary Care Inc
All providers in Joplin, MO · Ophthalmology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.