Melissa Trego, OD
Optometrist in Philadelphia, PA. Individual provider (NPI-1).
NPI number1154501005
StatusActive
Last updated in NPPESNov 8, 2007
Details
- NPI
- 1154501005
- Entity type
- Individual (NPI-1)
- Name
- Melissa Trego
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 8, 2007
- Last updated
- Nov 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OEG001462 | PA | Yes |
Practice location
1200 W Godfrey AvePhiladelphia, PA 19141-3323
Phone 215-276-6000 · Fax 215-276-1329
Mailing address
1200 W Godfrey AvePhiladelphia, PA 19141-3323
Phone 215-276-6000 · Fax 215-276-1329
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