National Provider Identifier
Melissa A McCracken, OD
Melissa A McCracken, OD is listed in the NPPES registry with a primary specialty of Optometrist in Jamestown, NY and a listed phone number of (716) 483-2020.
Profile Overview
- NPI
- 1023090420
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- November 19, 2005
- Last Updated
- March 26, 2022
Practice Location
- 27 Porter Ave
- Jamestown, NY 14701
Phone: (716) 483-2020
Specialties
- Optometrist (152W00000X)
- Optometrist (152W00000X)
Full Record
- NPI
- 1023090420
- Entity Type
- Individual
- Last Name
- McCracken
- First Name
- Melissa
- Middle Name
- A
- Name Prefix
- Dr.
- Credential
- OD
- Provider Other Last Name
- Carr
- Provider Other First Name
- Melissa
- Provider Other Middle Name
- A
- Provider Other Name Prefix Text
- Dr.
- Provider Other Credential Text
- OD
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 27 Porter Ave
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701
- Mailing Country
- US
- Mailing Phone
- (716) 483-2020
- Mailing Fax
- (716) 488-9295
- Practice Street Address
- 27 Porter Ave
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701
- Practice Country
- US
- Practice Phone
- (716) 483-2020
- Practice Fax
- (716) 488-9295
- Enumeration Date
- November 19, 2005
- Last Updated
- March 26, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 26, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X), Optometrist (152W00000X)
- Other Identifiers
- 102161282 (PA), 03029196 (NY)