Individual
DR. MARK K. MEADOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3449 GEORGE WASHINGTON MEMORIAL HWY, HAYES, VA 23072-3100
(804) 642-2290
(804) 684-2166
Mailing address
3449 GEORGE WASHINGTON MEMORIAL HWY, HAYES, VA 23072-3100
(804) 642-2290
(804) 684-2166
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
#0601800484
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010026911
—
VA
Enumeration date
09/21/2005
Last updated
05/21/2012
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