Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | OEG000202 | PA |
NPI | 1194709543 |
---|---|
Provider Name | Dr. Erica Voss Meloy |
First Address | Mechanicsburg, PA 17055-3364 |
Second Address | Mechanicsburg, PA 17055-3364 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2005 |
Last Update Date | 29/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
UO1358 | (02) | PA |