Provider Demographics
NPI:1962790600
Name:MEADE FAMILY EYE, PLLC
Entity type:Organization
Organization Name:MEADE FAMILY EYE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:E
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:270-302-6634
Mailing Address - Street 1:2195 BRANDENBURG RD
Mailing Address - Street 2:
Mailing Address - City:BRANDENBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40108-9343
Mailing Address - Country:US
Mailing Address - Phone:270-422-7766
Mailing Address - Fax:270-422-7799
Practice Address - Street 1:2195 BRANDENBURG RD
Practice Address - Street 2:
Practice Address - City:BRANDENBURG
Practice Address - State:KY
Practice Address - Zip Code:40108-9343
Practice Address - Country:US
Practice Address - Phone:270-422-7766
Practice Address - Fax:270-422-7799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-15
Last Update Date:2024-05-09
Deactivation Date:2024-03-18
Deactivation Code:
Reactivation Date:2024-04-30
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty