Provider Demographics
NPI:1104017409
Name:VANRAY, MELISSA CATHERINE (OD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:CATHERINE
Last Name:VANRAY
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 1:10228 W 52ND PL
Mailing Address - Street 2:304
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-6609
Mailing Address - Country:US
Mailing Address - Phone:440-897-0532
Mailing Address - Fax:
Practice Address - Street 1:11480 SHERIDAN BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80020-3319
Practice Address - Country:US
Practice Address - Phone:303-404-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5721152W00000X
OHT2635152W00000X
CO2999152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist