Paul R Melicher, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

428 Issued in ND

Practice address

100 4TH St S Ste 612
Fargo, ND 58103-1940

Phone

(701) 235-0561

Fax

(701) 235-0330

NPI assigned

Oct 11, 2006

Last updated

Dec 12, 2007By 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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1174611438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 4TH ST S STE 612",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031940",
            "telephone_number": "701-235-0561",
            "fax_number": "701-235-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 4TH ST S STE 612",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031940",
            "telephone_number": "701-235-0561",
            "fax_number": "701-235-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELICHER",
        "first_name": "PAUL",
        "middle_name": "R",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "11481",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICES",
            "identifier": "800428",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "2M311ME",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60346",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Landon Joseph Melchior, MD
• Tuvalu Melei
• Margaret A Melgard, RN PAC
• Maria Louise-Hills Melichar, NURSE PRACTITIONER
• Kevin Lyle Melicher, OD
• Melinda Harr, DDS, PC
• Stephanie Janine Melquist, MD, MPH
• Dyan P Melton, RN
• Daniel Lawrence Mengedoth, DDS
• Laura Mennenga

• 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 Dec 12, 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.