Provider Demographics
NPI:1467647289
Name:MEINHOLD, JOHN (OD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:MEINHOLD
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:2921 ERIE BLVD E
Mailing Address - Street 2:C/O EMPIRE VISION CENTER, INC
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13224-1430
Mailing Address - Country:US
Mailing Address - Phone:315-446-3145
Mailing Address - Fax:315-445-7675
Practice Address - Street 1:346 S BROADWAY
Practice Address - Street 2:OPTOMETRIC PROVIDERS OF NEW HAMPSHIRE, P. C.
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-4304
Practice Address - Country:US
Practice Address - Phone:603-898-8560
Practice Address - Fax:603-870-9271
Is Sole Proprietor?:No
Enumeration Date:2007-09-14
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH590152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist