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NPI Code Detail

MEDICARE: MELISSA CUAN O.D.

MEDICARE:   MELISSA  CUAN  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
1152W00000XOptometristTUV 56007999NY
2152W00000XOptometrist2564NC

General Provider Information

NPI Number : 1679913446
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA CUAN O.D.
Provider Business Mailing Address
First Line : 2850 WALKER DR
Second Line :
City : YORKTOWN HEIGHTS
State : NY
Zip : 10598-2916
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3901 OLEANDER DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-6733
Country : US
Telephone Number : 910-395-2772
Fax Number : 910-799-9170
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2013
Last Update Date : 11/25/2019

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

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