Individual
DR. MELVIN R. WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1239 CONCORD RD SE, SMYRNA, GA 30080-4310
(770) 435-4457
(770) 435-4555
Mailing address
1239 CONCORD RD SE, SMYRNA, GA 30080-4310
(770) 435-4457
(770) 435-4555
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
740
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00004925B
—
GA
01
—
1066147
AMERIGROUP
GA
01
—
11461
OPTICARE
GA
01
—
2230037
UNITED HEALTHCARE
GA
01
—
331302
CIGNA
GA
01
—
4239284
AETNA
GA
01
—
727825
BCBS
GA
Enumeration date
06/01/2005
Last updated
01/03/2008
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