NPI 1144257965

Kevin Lyle Melicher, OD

Practitioner Optometrist Fargo, ND

Practice location

Address: 3902 13th Ave SW, Fargo, ND 58103-3357
Phone: (701) 282-5880

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence ND360 (ND)

Other Optometrist providers in North Dakota →

Registry record

NPI: 1144257965
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jun 2006
Record last updated: 30 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.