Melissa Frederick

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

O.24 Issued in OH

Legal business name

MELISSA FREDERICK

Practice address

1422 Euclid Ave
802
Cleveland, OH 44115-1902

Phone

(314) 750-1603

NPI assigned

May 27, 2016

Last updated

May 27, 2016By 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

Melissa Frederick, BCO

Title

Ocularist/Owner

Phone

(314) 750-1603

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1871941138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 LAFAYETTE DR",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633047890",
            "telephone_number": "314-750-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 EUCLID AVE",
            "address_2": "802",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441151902",
            "telephone_number": "314-750-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA FREDERICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OCULARIST/OWNER",
        "authorized_official_telephone_number": "314-750-1603",
        "authorized_official_credential": "BCO"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "OH",
            "license": "O.24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Melendez
• Blanca Melero, PSYD
• Laura Melgun, OTR/L
• Alfred J Melillo, PA
• Ann Marie Louise Melinz
• Sami Jean Melki, M.D.
• Megan Melland-Smith, MD
• Dannielle Lynn Mellen, APRN-CNP
• Shelley G. Mellino, RN
• Beth Mellors

• Customized Equipment (DME) in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Customized Equipment (DME) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.