Provider Demographics
NPI:1417397027
Name:DR. MELANIE S. KISER PC
Entity Type:Organization
Organization Name:DR. MELANIE S. KISER PC
Other - Org Name:KISER EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:KISER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:901-494-5055
Mailing Address - Street 1:1960 US HIGHWAY 70 SE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-5106
Mailing Address - Country:US
Mailing Address - Phone:828-323-8833
Mailing Address - Fax:828-322-8687
Practice Address - Street 1:1960 US HIGHWAY 70 SE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-5106
Practice Address - Country:US
Practice Address - Phone:828-323-8833
Practice Address - Fax:828-322-8687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-27
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCU36656Medicare UPIN