Individual
DR. MELISSA R LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
28 ARNOLD MALL, ARNOLD, MO 63010-2223
(636) 282-2700
(636) 282-3084
Mailing address
28 ARNOLD MALL, ARNOLD, MO 63010-2223
(636) 282-2700
(636) 282-3084
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MOTO3404
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 1595008
MEDICARE ID
MO
Enumeration date
01/25/2007
Last updated
09/17/2013
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