Individual
MELANIE CHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3590B PELHAM PKWY UNIT 190, PELHAM, AL 35124-2034
(440) 463-6500
Mailing address
3590B PELHAM PKWY UNIT 190, PELHAM, AL 35124-2034
(440) 463-6500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4730
OH
152W00000X
Optometrist
Primary
R-238-TA-A10
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
611420575054
CARESOURCE
OH
Enumeration date
10/16/2006
Last updated
12/02/2024
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