Dacumos, Melissa Anne
Dacumos, Melissa Anne is an individual health care provider with primary practice located at 2915 S Alder St , Tacoma WA 98409-4803. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Dacumos, Melissa Anne can be contacted via phone (253) 473-0275.Contact Information
Primary practice address
2915 S Alder St
Tacoma WA 98409-4803
Phone: (253) 473-0275
Fax: (253) 473-0706
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT-OPT-LIC-815 | Montana |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD00003971 | Washington |
Profile Details
| NPI number | 1235180225 |
|---|---|
| LBN Legal business name | Dacumos, Melissa Anne |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2006 |
| Last updated | Nov 19th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235180225 | NPPES |
| Montana | MEDICAID | 1005577 | |
| Montana | Other | G8893416 | |
| Montana | Other | 011003797 | |
| Montana | Other | G8885650 | |
| Montana | MEDICAID | 2030963 |
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