Individual
MATTHEW MEREDITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4010 DUPONT CIR STE 380, LOUISVILLE, KY 40207-4881
(502) 895-0040
(502) 214-3429
Mailing address
1935 BLUEGRASS AVE STE 200, LOUISVILLE, KY 40215-1181
(502) 364-0033
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18004388A
IN
152W00000X
Optometrist
Primary
2312DT
KY
152W00000X
Optometrist
3616
TN
Other
Enumeration date
05/06/2020
Last updated
07/06/2023
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