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NPI Code Detail

MEDICARE: MELISSA STILING O.D.

MEDICARE:   MELISSA  STILING  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
1152W00000XOptometrist1554SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174759948
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA STILING O.D.
Provider Business Mailing Address
First Line : 2603 BOILING SPRINGS RD
Second Line : SUITE B
City : BOILING SPRINGS
State : SC
Zip : 29316-6011
Country : US
Telephone Number : 864-578-3926
Fax Number :
Provider Business Practice Location Address
First Line : 2603 BOILING SPRINGS RD
Second Line : SUITE B
City : BOILING SPRINGS
State : SC
Zip : 29316-6011
Country : US
Telephone Number : 864-578-3926
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2009
Last Update Date : 07/27/2022

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Directions to “ MELISSA STILING O.D.” Practice Location

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