Provider Demographics
NPI:1154701738
Name:PARMELEE, MEREDITH YINGLING (OD)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:YINGLING
Last Name:PARMELEE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1730 BRUNSWICK HWY
Mailing Address - Street 2:
Mailing Address - City:WAYCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:31501-0908
Mailing Address - Country:US
Mailing Address - Phone:912-283-9383
Mailing Address - Fax:
Practice Address - Street 1:1730 BRUNSWICK HWY
Practice Address - Street 2:
Practice Address - City:WAYCROSS
Practice Address - State:GA
Practice Address - Zip Code:31501-0908
Practice Address - Country:US
Practice Address - Phone:912-283-9383
Practice Address - Fax:912-275-8568
Is Sole Proprietor?:No
Enumeration Date:2015-06-09
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT002867152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist