NPI 1578651048

Melvin Clyde Merrell, LDOABOM

Practitioner Optician Longview, WA

Practice location

Address: 1230 Seventh Ave., Longview, WA 98632
Phone: (360) 636-6238
Mailing address: PO Box 1005, Castle Rock, WA 98611-1005

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence DO00000643 (WA)

Other Technician/Technologist providers in Washington →

Registry record

NPI: 1578651048
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Oct 2006
Record last updated: 8 Jul 2007

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.