MR. JON KENNETH MEYERS


Address: 858 W Benjamin Holt Dr, Stockton, CA 95207-3652
Phone: 2094760913

MR. JON KENNETH MEYERS (NPI# 1538381587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538381587
Entity Type Individual
Full Name MR. JON KENNETH MEYERS
Credential D.O.
Practice Address 858 W Benjamin Holt Dr
Stockton
CA 95207-3652
Practice Telephone 2094760913
Practice Fax Number 2094769792
Mailing Telephone 2094760913
Mailing Fax Number 2094769792
Enumeration Date 2007-05-02
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
D 3783 CA Eye and Vision Services Providers

Office Location

Street Address 858 W BENJAMIN HOLT DR
City STOCKTON
State CA
Zip Code 95207-3652

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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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1366648354 Lynda Diane Winter Technician/Technologist 622 Lincoln Ctr, Stockton, CA 95207-2640 2007-06-26
1447472162 Ronald Francis Lewis Technician/Technologist 2301 W Alpine Ave, Stockton, CA 95204-2701 2007-05-03
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1770671240 Walmart Stores, Inc. Technician/Technologist 3223 E Hammer Ln, Stockton, CA 95212-2815 2006-10-10

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Competitor

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City STOCKTON
Zip Code 95207

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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