Individual
PAUL R MELICHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
428
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11481
BLUE SHIELD
ND
01
—
2M311ME
BLUE SHIELD
MN
05
—
60346
—
ND
01
—
800428
VISION SERVICES
ND
Enumeration date
10/11/2006
Last updated
12/12/2007
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