Provider Demographics
NPI:1437471950
Name:CARREL, MEREDITH FREE (OD)
Entity Type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:FREE
Last Name:CARREL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:19599 MACK AVENUE
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48236
Mailing Address - Country:US
Mailing Address - Phone:313-882-9711
Mailing Address - Fax:313-882-9620
Practice Address - Street 1:19599 MACK AVENUE
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE WOODS
Practice Address - State:MI
Practice Address - Zip Code:48236
Practice Address - Country:US
Practice Address - Phone:313-882-9711
Practice Address - Fax:313-882-9620
Is Sole Proprietor?:No
Enumeration Date:2010-02-25
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY4901004263152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist