Vardeman, Melanie Montes
Vardeman, Melanie Montes is an individual health care provider with primary practice located at 4729 Ne Stallings Dr , Nacogdoches TX 75965-1607. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Vardeman, Melanie Montes can be contacted via phone (936) 564-2634.Contact Information
Primary practice address
4729 Ne Stallings Dr
Nacogdoches TX 75965-1607
Phone: (936) 564-2634
Fax: (936) 564-0387
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5757TG | Texas |
Profile Details
| NPI number | 1669589081 |
|---|---|
| LBN Legal business name | Vardeman, Melanie Montes |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Aug 24th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669589081 | NPPES |
| Texas | MEDICAID | 038446302 | |
| Texas | Other | 5757TG |
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