Provider Demographics
NPI:1194821629
Name:O E MEYER CO
Entity Type:Organization
Organization Name:O E MEYER CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:G
Authorized Official - Last Name:BELDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-625-1256
Mailing Address - Street 1:PO BOX 479
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44871-0479
Mailing Address - Country:US
Mailing Address - Phone:419-625-1256
Mailing Address - Fax:419-625-3999
Practice Address - Street 1:1005 EVERETT RD
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420-1432
Practice Address - Country:US
Practice Address - Phone:419-332-6931
Practice Address - Fax:419-332-6044
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:O E MEYER CO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-15
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH22032332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2309782Medicaid
OH000000155699OtherANTHEM BLUE CROSS BLUE SH
OH000000155699OtherANTHEM BLUE CROSS BLUE SH
OH2309782Medicaid
OH2309782Medicaid