Provider Demographics
NPI:1912038175
Name:MEEK, DIANE S (OD)
Entity Type:Individual
Prefix:DR
First Name:DIANE
Middle Name:S
Last Name:MEEK
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 1:4460 ELMWOOD RD
Mailing Address - Street 2:PO BOX 567
Mailing Address - City:BATAVIA
Mailing Address - State:OH
Mailing Address - Zip Code:45103-8418
Mailing Address - Country:US
Mailing Address - Phone:513-732-6151
Mailing Address - Fax:
Practice Address - Street 1:4595 EASTGATE BLVD
Practice Address - Street 2:SEARS OPTICAL DEPT
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245-1201
Practice Address - Country:US
Practice Address - Phone:513-753-9725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3813 T561152W00000X
KY1067DT152W00000X
VA0601001285152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist