Individual
DR. THEODORE WAYNE MESHOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
888 WILLIS AVENUE, ALBERTSON, NY 11507
(516) 747-6363
(516) 747-8013
Mailing address
72 LENT DRIVE, PLAINVIEW, NY 11803
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
003381-1
NY
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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