Provider Demographics
NPI:1306572672
Name:MELTZER, ERICA (OD)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:
Last Name:MELTZER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2978 HEWLETT AVE
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-5311
Mailing Address - Country:US
Mailing Address - Phone:516-779-9939
Mailing Address - Fax:516-487-2581
Practice Address - Street 1:80 MIDDLE NECK RD
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-1243
Practice Address - Country:US
Practice Address - Phone:516-487-3074
Practice Address - Fax:516-487-2581
Is Sole Proprietor?:No
Enumeration Date:2022-07-28
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009624152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist