Provider Demographics
NPI:1912027996
Name:MEIER, DOUGLAS (OD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:
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 1:515 SPRING VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-5833
Mailing Address - Country:US
Mailing Address - Phone:407-786-3937
Mailing Address - Fax:407-682-7524
Practice Address - Street 1:515 SPRING VALLEY RD
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-5833
Practice Address - Country:US
Practice Address - Phone:407-786-3937
Practice Address - Fax:407-682-7524
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-31
Last Update Date:2012-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOP1548152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0783064-00Medicaid
FL0783064-00Medicaid
FLU17318Medicare UPIN