Individual
DR. MELISSA Y BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2013 S JOPLIN AVE, JOPLIN, MO 64804-2033
(417) 624-5005
(417) 624-5215
Mailing address
2452 N MALANG RD, JOPLIN, MO 64801-8613
(417) 624-7663
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2000161248
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169589
BCBS
MO
01
—
P00069086
MEDICARE RAILROAD
MO
Enumeration date
06/14/2005
Last updated
01/17/2008
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