Provider Demographics
NPI:1578780359
Name:S & W MEEKS INC
Entity Type:Organization
Organization Name:S & W MEEKS INC
Other - Org Name:MEEKS OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:HICKS
Authorized Official - Last Name:MEEKS
Authorized Official - Suffix:SR
Authorized Official - Credentials:HIGH SCHOOL EDUCATIO
Authorized Official - Phone:304-768-3944
Mailing Address - Street 1:426 DIVISION STREET
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25314
Mailing Address - Country:US
Mailing Address - Phone:304-768-3944
Mailing Address - Fax:304-768-3944
Practice Address - Street 1:426 DIVISION STREET
Practice Address - Street 2:
Practice Address - City:SOUTH CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25314
Practice Address - Country:US
Practice Address - Phone:304-768-3944
Practice Address - Fax:304-768-3944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVWV-031-0417-001332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0151853000Medicaid
WV0784300001Medicare ID - Type Unspecified