Provider Demographics
NPI:1972552321
Name:MEISTER, RICHARD BURNS (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:BURNS
Last Name:MEISTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5959 GREENBACK LN
Mailing Address - Street 2:310
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95621-4700
Mailing Address - Country:US
Mailing Address - Phone:916-723-7400
Mailing Address - Fax:916-723-4449
Practice Address - Street 1:5959 GREENBACK LN
Practice Address - Street 2:310
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95621-4700
Practice Address - Country:US
Practice Address - Phone:916-723-7400
Practice Address - Fax:916-723-4449
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA40566207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A405660Medicaid
CAA29149Medicare UPIN
CA00A405660Medicare PIN