Organization
OPTIQUE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M. MELGARY O.D. (PRESIDENT)
(740) 676-4717
Entity
Organization
Contact information
Practice address
3233 BELMONT ST, BELLAIRE, OH 43906-1520
(740) 676-4717
(740) 676-4695
Mailing address
3233 BELMONT ST, BELLAIRE, OH 43906-1520
(740) 676-4717
(740) 676-4695
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
3515
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0619307
—
OH
01
—
1310559
UMWA
OH
01
—
410002650
RAILROAD MEDICARE
OH
Enumeration date
10/21/2008
Last updated
10/21/2008
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