Provider Demographics
NPI:1154487775
Name:MEYER, MARCUS A (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:A
Last Name:MEYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7520 35TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98126-3228
Mailing Address - Country:US
Mailing Address - Phone:206-937-9600
Mailing Address - Fax:206-937-4088
Practice Address - Street 1:7520 35TH AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98126
Practice Address - Country:US
Practice Address - Phone:206-937-9600
Practice Address - Fax:206-937-4088
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00038833207WX0009X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8269839Medicaid
WA8269839Medicaid
WA1156300001Medicare NSC
WAF09478Medicare UPIN