Provider Demographics
NPI:1467439901
Name:MEIER, BRIAN BOYD (OD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:BOYD
Last Name:MEIER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 W MILL ST
Mailing Address - Street 2:
Mailing Address - City:BAYFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:81122
Mailing Address - Country:US
Mailing Address - Phone:970-884-2020
Mailing Address - Fax:970-884-2977
Practice Address - Street 1:49 W MILL ST
Practice Address - Street 2:
Practice Address - City:BAYFIELD
Practice Address - State:CO
Practice Address - Zip Code:81122
Practice Address - Country:US
Practice Address - Phone:970-884-2020
Practice Address - Fax:970-884-2977
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4769152W00000X
CO2642152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO02324261Medicaid
CO02324261Medicaid