Individual
DR. MEGAN LEIGH DANTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001935
VA
152W00000X
Optometrist
18003608
IN
152W00000X
Optometrist
Primary
2187
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104054964
—
VA
05
—
200945210
—
IN
05
—
5914698
—
NC
Enumeration date
06/30/2009
Last updated
12/18/2014
Update your record
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