Provider Demographics
NPI:1194709543
Name:MELOY, ERICA VOSS (OD)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:VOSS
Last Name:MELOY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-3364
Mailing Address - Country:US
Mailing Address - Phone:717-766-4757
Mailing Address - Fax:717-766-7563
Practice Address - Street 1:100 N WALNUT ST
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-3364
Practice Address - Country:US
Practice Address - Phone:717-766-4757
Practice Address - Fax:717-766-7563
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000202152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0624410001Medicare NSC
PAME 179561Medicare ID - Type UnspecifiedINDIVIDUAL NUMBER
PAUO1358Medicare UPIN
PA555523Medicare ID - Type UnspecifiedGROUP NUMBER