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Contact Information

RANDALL G MELCHERT, OD
12750 W CAPITAL DR
BROOKFIELD, WI53005
 Phone: 262-781-2020
 Fax: 262-781-6535
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for RANDALL G MELCHERT · (Male)

NPI # 1629153853
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/26/2006
Last updated 11/29/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 1634
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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