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NPI Code Detail

MEDICARE: MS. STEPHANIE ANNE MELZER O.D.

MEDICARE: MS. STEPHANIE ANNE 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
1152W00000XOptometrist0003185CO

General Provider Information

NPI Number : 1518219856
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. STEPHANIE ANNE MELZER O.D.
Provider Business Mailing Address
First Line : 8770 W 46TH AVE
Second Line :
City : WHEAT RIDGE
State : CO
Zip : 80033-3109
Country : US
Telephone Number : 720-579-7770
Fax Number :
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 : 10/10/2012
Last Update Date : 12/23/2015

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