DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MARY MELITA CRUM, OPTICIAN

Active Sole Proprietor

MRS. MARY MELITA CRUM, OPTICIAN is a Optician, Dispensing healthcare provider located in FLORISSANT, Missouri. NPI 1215122304 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · FLORISSANT, MO

Registration Details

NPI Number
1215122304
Provider Type
Individual
Gender
Female
NPI Issued
Sep 11, 2007 (18.886518447307 yrs)
Last Updated
May 23, 2008
License
B0057567A (MO)
Sole Proprietor
Yes

Practice Information

Address
11266 W FLORISSANT AVE
FLORISSANT, MO, 630336741
Browse MO providers · Browse ZIP 63033
Phone
3148383539
Fax
3148380633
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in FLORISSANT, MO

Name Credential NPI
FELICIA JOHNSON 1407205529
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.