Individual
DR. MELANIE LYNN MAUREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1750 EAST INDIANAPOLIS ROAD, WAL-MART VISION CENTER, GREENCASTLE, IN 46135
(765) 655-1759
(765) 655-1278
Mailing address
1432 N COUNTY ROAD 175 W, GREENCASTLE, IN 46135-9294
(765) 653-1987
(765) 655-1278
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002943A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18002943A
LICENSE NUMBER
IN
01
—
18002943B
LEGEND DRUG CERTIFICATE
IN
Enumeration date
08/17/2006
Last updated
07/08/2007
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