Provider Demographics
NPI:1093022964
Name:BARBER, MEREDITH ASHLEY (OD)
Entity Type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:ASHLEY
Last Name:BARBER
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 1:1420 N ALTA VISTA BLVD APT 125
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90046-4379
Mailing Address - Country:US
Mailing Address - Phone:703-937-7245
Mailing Address - Fax:
Practice Address - Street 1:6600 TOPANGA CANYON BLVD UNIT 1
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-2601
Practice Address - Country:US
Practice Address - Phone:703-937-7245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT13939TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist