Weiss, Melvin R.

Weiss, Melvin R. is an individual health care provider with primary practice located at 1239 Concord Rd Se , Smyrna GA 30080-4310. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Weiss, Melvin R. can be contacted via phone (770) 435-4457.

Contact Information

Primary practice address
1239 Concord Rd Se Smyrna GA 30080-4310
Phone: (770) 435-4457
Fax: (770) 435-4555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 740 Georgia

Profile Details

NPI number 1205838554
LBN Legal business name Weiss, Melvin R.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jan 3rd, 2008 - about 16 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 1205838554 NPPES
Georgia Other 11461 OPTICARE
Georgia Other 727825 OPTICARE
Georgia Other 1066147 OPTICARE
Georgia Other 331302 OPTICARE
Georgia Other 4239284 OPTICARE
Georgia MEDICAID 00004925B OPTICARE
Georgia Other 2230037 OPTICARE

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