Individual
DR. TIM M MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
115 W 3RD ST, GRANT, NE 69140-3107
(308) 352-4424
Mailing address
PO BOX 950, GRANT, NE 69140-0950
(308) 352-4424
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
880
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47080662400
—
NE
Enumeration date
10/13/2005
Last updated
07/08/2007
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