Provider Demographics
NPI:1356757819
Name:TRIVEDI, MEHA HARI (OD)
Entity type:Individual
Prefix:
First Name:MEHA
Middle Name:HARI
Last Name:TRIVEDI
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 1:901 ABERNATHY RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-2561
Mailing Address - Country:US
Mailing Address - Phone:404-252-1702
Mailing Address - Fax:
Practice Address - Street 1:901 ABERNATHY RD STE 100
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-2561
Practice Address - Country:US
Practice Address - Phone:404-252-1702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-05
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT002817152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist