Provider Demographics
NPI:1124471669
Name:KUZO, MELISSA MARIE (OD)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:MARIE
Last Name:KUZO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:MARIE
Other - Last Name:DEBELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:2820 WHITEFORD RD STE 6
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-7625
Mailing Address - Country:US
Mailing Address - Phone:717-470-0650
Mailing Address - Fax:717-470-0655
Practice Address - Street 1:2820 WHITEFORD RD STE 6
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-7625
Practice Address - Country:US
Practice Address - Phone:717-470-0650
Practice Address - Fax:717-470-0655
Is Sole Proprietor?:No
Enumeration Date:2016-07-20
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG003168152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist