Reese, Melanie Alicia

Reese, Melanie Alicia is an individual health care provider with primary practice located at 1666 E Oakland Park Blvd , Ft Lauderdale FL 33334. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Reese, Melanie Alicia can be contacted via phone (954) 566-1404.

Contact Information

Primary practice address
1666 E Oakland Park Blvd Ft Lauderdale FL 33334
Fax: (954) 566-0291
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC3736 Florida

Profile Details

NPI number 1528169018
LBN Legal business name Reese, Melanie Alicia
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528169018 NPPES
Florida MEDICAID 620784700

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