Provider Demographics
NPI:1326101395
Name:SOMMERS, MELISSA MARIE (OD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:MARIE
Last Name:SOMMERS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 EAST NASA PARKWAY
Mailing Address - Street 2:SUITE 70
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598
Mailing Address - Country:US
Mailing Address - Phone:281-332-0698
Mailing Address - Fax:281-332-6689
Practice Address - Street 1:100 EAST NASA PARKWAY
Practice Address - Street 2:SUITE 70
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598
Practice Address - Country:US
Practice Address - Phone:281-332-0698
Practice Address - Fax:281-332-6689
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2546TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80902QOtherBLUE CROSS BLUE SHIELD
TX6872047OtherCIGNA
TX5481386OtherAETNA
TX0790330001OtherNSC
TX00E67EOtherBLUE CROSS BLUE SHIELD
TX2546TGOtherTEXAS OPTOMETRY LICENSE
TX5481386OtherAETNA
TX2546TGOtherTEXAS OPTOMETRY LICENSE
TX6872047OtherCIGNA
TX00E67EOtherBLUE CROSS BLUE SHIELD