Individual
DR. MELANIE LYNN LINDERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MO2003015398
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060721
TRICARE PROVIDER NUMBER
MO
01
—
33475028
BCBS NUMBER
MO
01
—
337219710
BNDD NUMBER
MO
01
—
DC3193
MEDICARE RAILROAD GROUP #
MO
01
—
MO2003015398
STATE LICENSE NUMBER
MO
01
—
P00205607
MEDICARE RAILROAD PIN
MO
Enumeration date
07/07/2005
Last updated
05/21/2024
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