Individual
DR. THOMAS JOSEPH MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
406 ROSEDALE SHOPPING CTR, PEARLE VISION, ROSEVILLE, MN 55113-3009
(651) 631-9394
(651) 631-9698
Mailing address
3468 SAVANNAH AVE, WHITE BEAR LAKE, MN 55110
(651) 777-7120
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2258
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2201069
MEDICA
—
01
—
3K202ME
BCBS
—
01
—
970481013975
PREFERRED ONE
—
Enumeration date
12/01/2006
Last updated
07/08/2007
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