Provider Demographics
NPI:1003811183
Name:MENEAR, LEA ANN (OD)
Entity Type:Individual
Prefix:DR
First Name:LEA
Middle Name:ANN
Last Name:MENEAR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 W MAGNOLIA AVE
Mailing Address - Street 2:APT B
Mailing Address - City:ALDAN
Mailing Address - State:PA
Mailing Address - Zip Code:19018-3707
Mailing Address - Country:US
Mailing Address - Phone:610-623-0006
Mailing Address - Fax:
Practice Address - Street 1:2710 CENTERVILLE RD STE 102
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-1652
Practice Address - Country:US
Practice Address - Phone:302-993-1300
Practice Address - Fax:302-993-1400
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEI3-0001413152W00000X
PAOEG001543152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAV00849Medicare UPIN
PA082050MSHMedicare ID - Type Unspecified