Kevin Lyle Melicher, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ND360 Issued in ND

Practice address

3902 13TH Ave SW
Fargo, ND 58103-3357

Phone

(701) 282-5880

NPI assigned

Jun 27, 2006

Last updated

Jun 30, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eyecare Associates, PC

  • Optometrist
  • Fargo, ND
  • NPI 1811077100
  Authorized official Same address or phone
• West Fargo Eyecare Associates PC

  • Optometrist
  • West Fargo, ND
  • NPI 1871031153
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1144257965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 13TH AVE SW",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033357",
            "telephone_number": "701-235-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 13TH AVE SW",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033357",
            "telephone_number": "701-282-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELICHER",
        "first_name": "KEVIN",
        "middle_name": "LYLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "ND360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Melbye, LAC
• Landon Joseph Melchior, MD
• Tuvalu Melei
• Margaret A Melgard, RN PAC
• Maria Louise-Hills Melichar, NURSE PRACTITIONER
• Paul R Melicher, O.D.
• Melinda Harr, DDS, PC
• Gary Douglas Mellum, D.C.
• Stephanie Janine Melquist, MD, MPH
• Dyan P Melton, RN

• Optometrist in Fargo, ND
• Providers in Fargo, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.