Provider Demographics
NPI:1700174273
Name:MONTREAL, MEGHAN (OD)
Entity Type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:
Last Name:MONTREAL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:MEGHAN
Other - Middle Name:
Other - Last Name:MONTREAL STEINOCKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:5012 S BUR OAK PL
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-2228
Mailing Address - Country:US
Mailing Address - Phone:605-338-3225
Mailing Address - Fax:605-361-1590
Practice Address - Street 1:5012 S BUR OAK PL
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108
Practice Address - Country:US
Practice Address - Phone:605-338-3225
Practice Address - Fax:605-361-1590
Is Sole Proprietor?:No
Enumeration Date:2011-07-18
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA002528152W00000X
SD672152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist