Provider Demographics
NPI:1083756845
Name:MEEK, GREGORY V (OD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:V
Last Name:MEEK
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:936 E WALTANN LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-3509
Mailing Address - Country:US
Mailing Address - Phone:602-993-4403
Mailing Address - Fax:
Practice Address - Street 1:3425 W THUNDERBIRD RD STE 17
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85053-5670
Practice Address - Country:US
Practice Address - Phone:602-789-1199
Practice Address - Fax:602-866-9405
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ 639152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAX0639OtherEYEMED VISION
AZEYEDOX 123OtherEYE CARE DIRECT
AZ118OtherTPA
AZ6027891199OtherVISION SERVICE
AZ3838OtherAVESIS
AZMM0627907OtherDEA