Individual
MELISSA M BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1910 IDAHO ST, LEWISTON, ID 83501-2564
(208) 743-4022
Mailing address
1910 IDAHO ST, LEWISTON, ID 83501-2564
(208) 743-4022
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-1020
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410044377
RAIL ROAD MEDICARE
ID
01
—
410044613
RAIL ROAD MEDICARE
OR
01
—
410044614
RAIL ROAD MEDICARE
WA
01
—
410044615
RAIL ROAD MEDICARE
WA
01
—
410044616
RAIL ROAD MEDICARE
WA
Enumeration date
07/11/2006
Last updated
03/20/2015
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