Provider Demographics
NPI:1194728188
Name:MEEKER, RONALD AUSTIN (OD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:AUSTIN
Last Name:MEEKER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:VESTAL
Mailing Address - State:NY
Mailing Address - Zip Code:13850-1511
Mailing Address - Country:US
Mailing Address - Phone:607-754-4426
Mailing Address - Fax:
Practice Address - Street 1:157 FRONT ST
Practice Address - Street 2:
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850-1511
Practice Address - Country:US
Practice Address - Phone:607-754-4426
Practice Address - Fax:607-754-0464
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOPT.0003908152W00000X
MTOPT-OPT-LIC-4597152W00000X
VA0618003176152W00000X
NYTUV004544152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0679800001OtherMCDME
NY161005014OtherAETNA
NY01668491Medicaid
410010351OtherRAILROAD MEDICARE
NY51462COtherUPSTATE MEDICARE DIV
NY10034165OtherCDPHP
NY598135OtherMVP
NY51462COtherUPSTATE MEDICARE DIV
NY01668491Medicaid
0679800001Medicare NSC