Provider Demographics
NPI:1376861724
Name:MEEHAN, BARBRA LEA (OD)
Entity Type:Individual
Prefix:DR
First Name:BARBRA
Middle Name:LEA
Last Name:MEEHAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1800 TILDEN RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:PA
Mailing Address - Zip Code:19526-8181
Mailing Address - Country:US
Mailing Address - Phone:484-668-4012
Mailing Address - Fax:610-562-3260
Practice Address - Street 1:1800 TILDEN RIDGE DR
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:PA
Practice Address - Zip Code:19526-8181
Practice Address - Country:US
Practice Address - Phone:484-668-4012
Practice Address - Fax:610-562-3260
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-10
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002320152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist