Individual
DR. MELVIN L. FRECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1402 W SPENCER AVE, MARION, IN 46952-3413
(765) 664-7647
(765) 668-1495
Mailing address
PO BOX 479, MARION, IN 46952-0479
(765) 664-7647
(765) 668-1495
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002023B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100151660A
—
IN
Enumeration date
11/22/2006
Last updated
05/02/2011
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