Individual
DR. PETRINA L. MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1670 W MAIN ST, SUITE 100, LEBANON, TN 37087-1344
(615) 453-5155
(615) 444-5915
Mailing address
1616 W MAIN ST, SUITE 100, LEBANON, TN 37087-3100
(615) 453-5155
(615) 444-5915
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1444
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3946497
—
TN
01
—
4096228
BCBS ADVANTAGE
TN
01
—
921613
BLOCKVISION
TN
01
—
P00241333
PALMETTO GBA
TN
01
—
TN1444
EYEMED VISION
TN
Enumeration date
08/02/2005
Last updated
07/08/2007
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