Individual
MEREDITH LEIGH DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3855 GASKINS RD, HENRICO, VA 23233-1441
(804) 217-6363
(804) 217-6400
Mailing address
3855 GASKINS RD, RICHMOND, VA 23233-1441
(804) 290-4278
(804) 217-6400
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
T2004009604
MO
207WX0109X
Neuro-ophthalmology Physician
0101241405
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014324V49
MEDICARE
—
01
—
10022943
OPTIMA
—
01
—
1629184239
VA PREMIER
—
05
—
1629184239
—
VA
01
—
2168499
UNITED HEALTH CARE
—
01
—
302628
HEALTHKEEPERS
—
01
—
7208981
AETNA
VA
Enumeration date
08/23/2006
Last updated
11/02/2020
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