Individual
MELISSA CLARE OLTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
100 UPTOWN RD, ITHACA, NY 14850-1632
(607) 257-5599
Mailing address
100 UPTOWN RD, ITHACA, NY 14850-1632
(607) 257-5599
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG001938
PA
152W00000X
Optometrist
Primary
TUV007205-1
NY
Other
Enumeration date
07/21/2007
Last updated
08/03/2008
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