Provider Demographics
NPI:1417083494
Name:WEHRMAN, MELANIE B (OD)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:B
Last Name:WEHRMAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:
Other - Last Name:SEHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:147 COUNTY ROAD 2300 N
Mailing Address - Street 2:
Mailing Address - City:MAHOMET
Mailing Address - State:IL
Mailing Address - Zip Code:61853-8902
Mailing Address - Country:US
Mailing Address - Phone:217-979-1109
Mailing Address - Fax:
Practice Address - Street 1:1265 SGT JON STILES DR
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2263
Practice Address - Country:US
Practice Address - Phone:303-791-1984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046009346152W00000X
CO2548152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist