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Individual

MELISSA FREDERICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1422 EUCLID AVE STE 802, CLEVELAND, OH 44115-2001
(401) 584-3939
Mailing address
9278 PARADISE DR, PANAMA CITY BEACH, FL 32413-9625
(401) 584-3939
(216) 678-9186

Taxonomy

Speciality
Code
Description
License number
State
156FX1700X
Ocularist
OC.000024
OH
156FX1800X
Optician
Primary

Other

Enumeration date
01/12/2019
Last updated
07/03/2025
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