Organization
MELICHER, P.C.
Active
Other names
Advanced Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY DAVID MELICHER O.D. (PRESIDENT)
(218) 744-3288
Entity
Organization
Contact information
Practice address
5465 MOUNTAIN IRON DR, SUITE 700, VIRGINIA, MN 55792-3372
(218) 741-3000
(218) 741-0800
Mailing address
4369 OLAUGHLIN DR, EVELETH, MN 55734-4029
(218) 744-3288
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MN 2409
MN
156FX1800X
Optician
—
—
Other
Enumeration date
01/17/2008
Last updated
02/10/2012
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