Provider Demographics
NPI:1366607608
Name:MEADE, ROBERT F (OD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:F
Last Name:MEADE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:301 MOUNT HOPE AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07866-2130
Mailing Address - Country:US
Mailing Address - Phone:973-366-9622
Mailing Address - Fax:973-366-8179
Practice Address - Street 1:301 MOUNT HOPE AVE
Practice Address - Street 2:
Practice Address - City:ROCKAWAY
Practice Address - State:NJ
Practice Address - Zip Code:07866-2130
Practice Address - Country:US
Practice Address - Phone:973-366-9622
Practice Address - Fax:973-366-8179
Is Sole Proprietor?:No
Enumeration Date:2008-07-25
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ5122152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU23587Medicare UPIN
NJV695156Medicare PIN