Provider Demographics
NPI:1588819361
Name:LAMBERT, MEGHAN M (OD)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:M
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9815 E BELL RD STE 105
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2342
Mailing Address - Country:US
Mailing Address - Phone:480-419-3900
Mailing Address - Fax:
Practice Address - Street 1:9815 E BELL RD STE 105
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2342
Practice Address - Country:US
Practice Address - Phone:480-419-3900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-20
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI556152W00000X
MA4844152W00000X
NC2111152W00000X
AZ002340152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist