Provider Demographics
NPI:1154088961
Name:MEB, PLLC
Entity Type:Organization
Organization Name:MEB, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:RAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:918-373-2167
Mailing Address - Street 1:PO BOX 451627
Mailing Address - Street 2:
Mailing Address - City:GROVE
Mailing Address - State:OK
Mailing Address - Zip Code:74345-1627
Mailing Address - Country:US
Mailing Address - Phone:918-373-2167
Mailing Address - Fax:
Practice Address - Street 1:1105 S MAIN ST
Practice Address - Street 2:
Practice Address - City:GROVE
Practice Address - State:OK
Practice Address - Zip Code:74344-2801
Practice Address - Country:US
Practice Address - Phone:918-786-2254
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty