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NPI Code Detail

MEDICARE: JAMES MASON MELZER O.D.

MEDICARE: JAMES MASON MELZER O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist2053CO

General Provider Information

NPI Number : 1295774248
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES MASON MELZER O.D.
Provider Business Mailing Address
First Line : 1666 S UNIVERSITY BLVD
Second Line :
City : DENVER
State : CO
Zip : 80210-2853
Country : US
Telephone Number : 303-320-1777
Fax Number : 303-733-9219
Provider Business Practice Location Address
First Line : 1666 S UNIVERSITY BLVD
Second Line :
City : DENVER
State : CO
Zip : 80210-2853
Country : US
Telephone Number : 303-320-1777
Fax Number : 303-733-9219
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 12/18/2013

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