Organization
MELISSA FREDERICK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FREDERICK BCO (OCULARIST/OWNER)
(314) 750-1603
Entity
Organization
Contact information
Practice address
1422 EUCLID AVE, 802, CLEVELAND, OH 44115-1902
(314) 750-1603
Mailing address
6005 LAFAYETTE DR, WELDON SPRING, MO 63304-7890
(314) 750-1216
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
O.24
OH
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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