Individual
DR. MELISSA A MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
27 PORTER AVE, JAMESTOWN, NY 14701
(716) 483-2020
(716) 488-9295
Mailing address
27 PORTER AVE, JAMESTOWN, NY 14701
(716) 483-2020
(716) 488-9295
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG001485
PA
152W00000X
Optometrist
Primary
OEG1485
PA
152W00000X
Optometrist
TUV007263
NY
152W00000X
Optometrist
TUV007263-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03029196
—
NY
05
—
102161282
—
PA
Enumeration date
11/19/2005
Last updated
03/26/2022
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