Melissa A. Diamond, Od, Pllc | |
2690 White Hall Blvd, Fairmont, WV 26554-8226 | |
(304) 363-4533 | |
Not Available |
Full Name | Melissa A. Diamond, Od, Pllc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 2690 White Hall Blvd, Fairmont, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790320216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Melissa Ann Diamond |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1568897890 PECOS PAC ID: 5092949701 Enrollment ID: I20131212001749 |
Mailing Address | Practice Location Address |
---|---|
Melissa A. Diamond, Od, Pllc 2690 White Hall Blvd, Fairmont, WV 26554-8226 Ph: (304) 363-4533 | Melissa A. Diamond, Od, Pllc 2690 White Hall Blvd, Fairmont, WV 26554-8226 Ph: (304) 363-4533 |
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Dr. J Keith Wade, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 405 Locust Ave, Fairmont, WV 26554 Phone: 304-366-2020 Fax: 304-367-0863 | |
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