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General NPI Number Information
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NPI Number | 1497997878
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Entity Type | Organization
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Legal Business Name | MELANIE CARVER, INC.
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Dates
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Enumeration Date | 03/31/2009
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 660 S COLLEGE AVE
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City | BLOOMINGTON
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State | IN
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Zip | 47403-2527
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Country | US
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Telephone | 812-332-5090
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Fax | 812-332-5092
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Provider Business Mailing Address
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Address Line | 2852 E 3RD ST
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City | BLOOMINGTON
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State | IN
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Zip | 47401-5423
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Country | US
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Telephone | 812-334-1893
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Fax | 812-334-1906
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. MELANIE M CARVER
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Credential | O.D.
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Telephone | 812-332-5090
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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 |
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License Number State |
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