Active NPIIndividual provider

Dr. Charles L Mellinger, OD

Optometrist in Southport, Connecticut

NPI Number1447319405
Practice location
2600 Post RD, Southport, CT 06890
Fax
—
Last updated
October 25, 2010

Charles Lee Mellinger is an Optometrist based in Southport, CT. Charles Lee Mellinger practices in Southport, CT and has the professional credentials of OD. The NPI Number for Charles Lee Mellinger is 1447319405 and holds a License No. 0000841 (CT). The current practice location address for Charles Lee Mellinger is 2600 Post RD, Southport, CT 06890 and can be reached out via phone at 203-255-4005.

Provider Profile Details

NPI Number
1447319405
Provider Name
Charles Lee Mellinger
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
2600 Post RD, Southport, CT 06890
Phone Number
203-255-4005
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
December 6, 2006
Last Update Date
October 25, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
2600 Post RD
Southport, CT 06890
Zip
06890
Phone Number
203-255-4005
Southport, CT 06890Get directions →

Provider Business Mailing Address Details

Address
85 Half Mile Lane
Southport, CT 06890
City
Southport
State
CT
Zip
06890
Phone Number
203-255-6471

License Information

License Number
0000841
License State
CT
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Charles L Mellinger, OD?

The NPI number of Dr. Charles L Mellinger, OD is 1447319405. It was assigned on December 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Charles L Mellinger, OD?

Dr. Charles L Mellinger, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number 0000841.

Where does Dr. Charles L Mellinger, OD practice?

The practice location is 2600 Post RD, Southport, CT 06890. The office can be reached at 203-255-4005 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447319405 directly on the NPPES registry website.

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