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Individual

DR. MELISSA B SHAFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D., F.A.A.O.

Contact information

Practice address
67 E GARNER RD STE 800, BROWNSBURG, IN 46112-7609
(317) 852-5000
(317) 852-5009
Mailing address
67 E GARNER RD STE 800, BROWNSBURG, IN 46112-7609
(317) 852-5000
(317) 852-5009

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002760A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000285712
ANTHEM BCBS
IN
01
4813800001
REGION B DMERC
IN
Enumeration date
11/28/2006
Last updated
05/15/2011
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