Individual
ANDREW MEAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1200 W GODFREY AVE, ADMINISTRATION DEPARTMENT, PHILADELPHIA, PA 19141-3323
(215) 276-6173
(215) 276-1329
Mailing address
1200 W GODFREY AVE, ADMINISTRATION DEPARTMENT, PHILADELPHIA, PA 19141-3323
(215) 276-6173
(215) 276-1329
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003117
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OEG003117
LICENSE NUMBER
PA
Enumeration date
09/16/2015
Last updated
09/16/2015
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