Individual
MELISSA ANN MISKO BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7100 KIT CREEK RD BLDG 9, MORRISVILLE, NC 27560-8663
(919) 392-2002
Mailing address
1248 CAPSTONE DR, DURHAM, NC 27713-7293
(630) 881-0780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2224
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01479600
—
FL
05
—
5922181
—
NC
Enumeration date
07/02/2008
Last updated
05/25/2019
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