Provider Demographics
NPI:1619495272
Name:CHARNEY, MEGAN MELISSA (OD)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:MELISSA
Last Name:CHARNEY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:850 W SHARON AVE STE 8
Mailing Address - Street 2:
Mailing Address - City:HOUGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:49931-1968
Mailing Address - Country:US
Mailing Address - Phone:906-482-6800
Mailing Address - Fax:906-523-9739
Practice Address - Street 1:850 W SHARON AVE STE 8
Practice Address - Street 2:
Practice Address - City:HOUGHTON
Practice Address - State:MI
Practice Address - Zip Code:49931-1968
Practice Address - Country:US
Practice Address - Phone:906-482-6800
Practice Address - Fax:906-523-9739
Is Sole Proprietor?:No
Enumeration Date:2017-09-05
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901005084152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist