Melissa Kubick, OD
Optometrist, Corneal and Contact Management in Waldorf, MD. Individual provider (NPI-1).
NPI number1982829487
StatusActive
Last updated in NPPESApr 23, 2008
Details
- NPI
- 1982829487
- Entity type
- Individual (NPI-1)
- Name
- Melissa Kubick
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2007
- Last updated
- Apr 23, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152WC0802X | Optometrist, Corneal and Contact Management | TA1316 | MD | Yes |
Practice location
11110 Mall CirWaldorf, MD 20603-4803
Phone 301-705-8383 · Fax 301-705-8388
Mailing address
11103 West AveSuite 6
San Antonio, TX 78213-1370
Phone 210-524-6509 · Fax 210-524-6587
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