Provider Demographics
NPI:1588099931
Name:DUGAN, MELISSA FREYDER (OD)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:FREYDER
Last Name:DUGAN
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 1:7211 REGENT ST STE B
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-1683
Mailing Address - Country:US
Mailing Address - Phone:504-766-0313
Mailing Address - Fax:504-581-8646
Practice Address - Street 1:7211 REGENT ST STE B
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70124-1683
Practice Address - Country:US
Practice Address - Phone:504-766-0313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-04
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1792-726AT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist