Provider Demographics
NPI:1972645703
Name:MEIER, STACEY J (OD)
Entity Type:Individual
Prefix:DR
First Name:STACEY
Middle Name:J
Last Name:MEIER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:604 E YEARLING RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085-1817
Mailing Address - Country:US
Mailing Address - Phone:623-434-1229
Mailing Address - Fax:
Practice Address - Street 1:3425 W THUNDERBIRD RD STE 17
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85053-5670
Practice Address - Country:US
Practice Address - Phone:602-789-1199
Practice Address - Fax:602-886-9505
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0639OtherEYEMED VISION
AZEYEDOX 123OtherEYECARE DIRECT
AZ3838OtherAVESIS
AZ789-1199OtherVISION SERVICE
ARMM0627882OtherPERSCRIPTIONS
AZ119OtherTPA