Provider Demographics
NPI:1447279815
Name:GEIGER, MEGHAN E (OD)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:E
Last Name:GEIGER
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 1:3557 N HAMILTON AVE
Mailing Address - Street 2:UNIT #2
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-6120
Mailing Address - Country:US
Mailing Address - Phone:773-528-3450
Mailing Address - Fax:
Practice Address - Street 1:1211 S ARLINGTON HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-3142
Practice Address - Country:US
Practice Address - Phone:847-259-2777
Practice Address - Fax:847-437-6841
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILP00260077OtherMEDICARE RAILROAD RETIREM
ILP00260077OtherMEDICARE RAILROAD RETIREM