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NPI Code Detail

MEDICARE: MELODY SERRINA AMADOR OD

MEDICARE:   MELODY SERRINA AMADOR  OD
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
1152W00000XOptometrist10914TTX

General Provider Information

NPI Number : 1730963190
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELODY SERRINA AMADOR OD
Provider Business Mailing Address
First Line : 616 E BAILEY BOSWELL RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76131-3575
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 616 E BAILEY BOSWELL RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76131-3575
Country : US
Telephone Number : 682-382-2020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2023
Last Update Date : 02/27/2025

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Directions to “ MELODY SERRINA AMADOR OD” Practice Location

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