Melvin L. Frecker O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002023B Issued in IN

Legal business name

MELVIN L. FRECKER O.D.

Practice address

304 S Baldwin Ave
Marion, IN 46952-3528

Phone

(765) 664-7647

Fax

(765) 668-1495

NPI assigned

Aug 21, 2007

Last updated

Aug 21, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Melvin Frecker, O.D.NPI 1043385198

Title

Owner

Phone

(765) 664-7647

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melvin L. Frecker, O.D.

  • Optometrist
  • Marion, IN
  • NPI 1043385198
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1033302294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 479",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469520479",
            "telephone_number": "765-664-7647",
            "fax_number": "765-668-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S BALDWIN AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469523528",
            "telephone_number": "765-664-7647",
            "fax_number": "765-668-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVIN L. FRECKER O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "FRECKER",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-664-7647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002023B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEPOS",
            "identifier": "0596930001",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Associates of Grant County, P.C.
• Meijer Stores Limited Partnership (Meijer Pharmacy #153)
• James R Mercho, D.D.S.
• Meridian Health Services Corp. (Meridian Health Services)
• Meridian Health Services Corp. (Meridian Health Services)
• Rachel Messer, RBT
• Dennis Earl Messersmith

• Optometrist in Marion, IN
• Providers in Marion, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.