Provider Demographics
NPI:1184119109
Name:GIESLER, MELISSA ANN (OD)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANN
Last Name:GIESLER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:ANN
Other - Last Name:MILBRANDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:2150 DEMING WAY
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-5507
Mailing Address - Country:US
Mailing Address - Phone:608-824-3963
Mailing Address - Fax:608-824-3964
Practice Address - Street 1:2150 DEMING WAY
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-5507
Practice Address - Country:US
Practice Address - Phone:608-824-3963
Practice Address - Fax:608-824-3964
Is Sole Proprietor?:No
Enumeration Date:2018-06-22
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3511-35152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist