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General NPI Number Information
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NPI Number | 1295999233
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Entity Type | Organization
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Legal Business Name | MELODY O. QUENZER, O.D., INC.
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Dates
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Enumeration Date | 07/17/2008
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 100 GATEWAY DR STE 130
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City | LINCOLN
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State | CA
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Zip | 95648-3303
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Country | US
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Telephone | 916-434-6225
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Fax | 916-434-6023
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Provider Business Mailing Address
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Address Line | 100 GATEWAY DR STE 130
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City | LINCOLN
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State | CA
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Zip | 95648-3303
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Country | US
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Telephone | 916-434-6225
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Fax | 916-434-6023
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Authorized Official
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Title or Position | MANAGER
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Name | TAMI BLISS
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Credential |
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Telephone | 916-838-5532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 11338T
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License Number State | CA
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