Individual
MELANIE PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1160 W. MICHIGAN ST., INDIANAPOLIS, IN 46202-5209
(317) 944-2020
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 962-4792
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003053
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200269030
—
IN
Enumeration date
03/15/2006
Last updated
01/06/2021
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