Provider Demographics
NPI:1508164203
Name:M.S. MCMEEKIN, O.D., LLC
Entity Type:Organization
Organization Name:M.S. MCMEEKIN, O.D., LLC
Other - Org Name:EASTSIDE EYECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:S
Authorized Official - Last Name:MCMEEKIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:864-881-1393
Mailing Address - Street 1:16 FERNWALK PL
Mailing Address - Street 2:
Mailing Address - City:TAYLORS
Mailing Address - State:SC
Mailing Address - Zip Code:29687-4603
Mailing Address - Country:US
Mailing Address - Phone:864-881-1393
Mailing Address - Fax:
Practice Address - Street 1:2411 HUDSON RD
Practice Address - Street 2:EASTSIDE EYECARE
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-2923
Practice Address - Country:US
Practice Address - Phone:864-881-1393
Practice Address - Fax:864-752-1046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1046332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier