Provider Demographics
NPI:1578530119
Name:MEIER, RICHARD FREDERICK (OD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:FREDERICK
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 1:3201 LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-4830
Mailing Address - Country:US
Mailing Address - Phone:775-825-0559
Mailing Address - Fax:775-829-7918
Practice Address - Street 1:3201 LAKESIDE DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-4830
Practice Address - Country:US
Practice Address - Phone:775-825-0559
Practice Address - Fax:775-829-7918
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-02
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV175152W00000X
CA6745152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T67301Medicare UPIN
NVV38236Medicare PIN
NV5093410001Medicare NSC