Provider Demographics
NPI:1770737819
Name:MEADE, ABIGAIL LYNN (OD)
Entity type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:LYNN
Last Name:MEADE
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 1:1 MILFORD TOWN GREEN LN
Mailing Address - Street 2:UNIT B
Mailing Address - City:MILFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18337-7668
Mailing Address - Country:US
Mailing Address - Phone:216-374-0194
Mailing Address - Fax:
Practice Address - Street 1:46 HAMPTON HOUSE RD
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-1409
Practice Address - Country:US
Practice Address - Phone:973-383-5840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-14
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00617900152W00000X
PAOEG002099152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist