Provider Demographics
NPI:1427014463
Name:MEATS, JOANNA CLAIRE (OD)
Entity Type:Individual
Prefix:DR
First Name:JOANNA
Middle Name:CLAIRE
Last Name:MEATS
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 1:15052 S BLACKBOB RD
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-2663
Mailing Address - Country:US
Mailing Address - Phone:913-390-4900
Mailing Address - Fax:913-390-4970
Practice Address - Street 1:15052 S BLACKBOB RD
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-2663
Practice Address - Country:US
Practice Address - Phone:913-390-4900
Practice Address - Fax:913-390-4970
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1646152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS33533019OtherBLUE CROSS BLUE SHIELD
KS200264710AMedicaid
KSQ25C838Medicare PIN
KSU98154Medicare UPIN