Provider Demographics
NPI:1669427886
Name:MEYER EYE GROUP PLC
Entity type:Organization
Organization Name:MEYER EYE GROUP PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-522-6520
Mailing Address - Street 1:PO BOX 1377
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38027-1377
Mailing Address - Country:US
Mailing Address - Phone:901-522-6520
Mailing Address - Fax:901-522-6521
Practice Address - Street 1:1000 BROOKFIELD RD STE 275
Practice Address - Street 2:SUITE 100
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-0801
Practice Address - Country:US
Practice Address - Phone:901-522-6520
Practice Address - Fax:901-522-6521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS19320207W00000X
208600000X, 207W00000X
TN4584207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS03927769Medicaid
DE0566OtherRR MEDICARE
16051OtherTLC
AR162061002Medicaid
MS00115916Medicaid
TN3730852Medicaid
TN3195384Medicaid
00000177268OtherUNISON HEALTHPLAN
TN=========OtherBC BS TN
00000177268OtherUNISON HEALTHPLAN
AR162061002Medicaid
DE0566OtherRR MEDICARE