Meredith Stallone

Optometrist · Maple Grove, MN

Individual Active NPI

NPI number 1821589680

Practice location

14500 99TH Ave N Ste 100
Maple Grove, MN 55369-4738
Phone
(763) 898-1000

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NPI record

NPI
1821589680
Entity type
Individual (Type 1)
Enumeration date
May 28, 2018
Last updated
November 21, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X TUV008777 NY

Mailing address

57 Benson Ave
Sayville, NY 11782-2916

Other practice locations (1)

  • 33 W 42nd St, New York, NY 10036 · (212) 938-4000

About Meredith Stallone

Meredith Stallone is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 14500 99TH Ave N Ste 100, Maple Grove, MN 55369-4738. The NPI number 1821589680 was assigned on May 28, 2018 and the record was last updated on November 21, 2019.

Meredith Stallone lists a license in the registry: #TUV008777 (NY) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Meredith Stallone?

The NPI number is 1821589680.

What is the phone number of Meredith Stallone?

The phone number listed for the practice location is (763) 898-1000.

Where is Meredith Stallone located?

14500 99TH Ave N Ste 100, Maple Grove, MN 55369-4738.

What is the taxonomy code for Meredith Stallone?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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