Individual
MELISSA JUNE HOGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4310 E 53RD ST, DAVENPORT, IA 52807-3039
(563) 322-1158
(563) 323-0949
Mailing address
310 W LOCUST ST, DAVENPORT, IA 52803-2806
(563) 322-1158
(563) 323-0949
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1977
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2133462
—
IA
01
—
37840
BLUE CROSS BLUE SHIELD
IA
Enumeration date
01/17/2006
Last updated
12/19/2019
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