Individual
DR. MELISSA GAIL REPKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
241 GATEWAY PLZ, SUITE 106, GATE CITY, VA 24251-3350
(276) 690-2345
(276) 690-2345
Mailing address
241 GATEWAY PLZ, SUITE 106, GATE CITY, VA 24251-3350
(276) 690-2345
(276) 690-2345
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001462
VA
152W00000X
Optometrist
2447
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010128404
—
VA
01
—
A806
PTAN
VA
Enumeration date
07/26/2007
Last updated
08/08/2012
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