Melanie Fackler

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

17001121A Issued in IN

Practice address

2300 South St
Lafayette, IN 47904-2971

Phone

(765) 447-0131

Fax

(765) 446-8168

NPI assigned

Jun 9, 2006

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1366483554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CHESHIRE LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463706",
            "telephone_number": "888-333-9152",
            "fax_number": "763-268-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SOUTH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042971",
            "telephone_number": "765-447-0131",
            "fax_number": "765-446-8168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACKLER",
        "first_name": "MELANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IN",
            "license": "17001121A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyecare Indiana II, PC (C&B Optical One)
• Eyecare Indiana LL, PC (C&B Optical One)
• Eyewear by Design, LLC
• Cydney Eylens
• Sylvia M Ezra, PHARMD
• Teresa Fairchild, RBT
• Olusade O Fakolade
• Giselle Falconi, MD
• Family Services, Inc.
• Anthony Fancher

• Hearing Instrument Specialist in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Hearing Instrument Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.