Provider Demographics
NPI:1730234048
Name:MENG, KARIN ELIZABETH (OD)
Entity type:Individual
Prefix:DR
First Name:KARIN
Middle Name:ELIZABETH
Last Name:MENG
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 1:1210 E ARQUES AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94085-5421
Mailing Address - Country:US
Mailing Address - Phone:408-245-2020
Mailing Address - Fax:408-245-2520
Practice Address - Street 1:1210 E ARQUES AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-5421
Practice Address - Country:US
Practice Address - Phone:408-245-2020
Practice Address - Fax:408-245-2520
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8546TLG152W00000X
CA8546T152WL0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Not Answered152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
ZZZ01708ZMedicare ID - Type Unspecified
CAT10702Medicare UPIN