Provider Demographics
NPI:1952385445
Name:DOWNS, MELISSA K (OD)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:K
Last Name:DOWNS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3630 11TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-4276
Mailing Address - Country:US
Mailing Address - Phone:507-288-2457
Mailing Address - Fax:507-288-1299
Practice Address - Street 1:3630 11TH AVE NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-4276
Practice Address - Country:US
Practice Address - Phone:507-288-2457
Practice Address - Fax:507-288-1299
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2578152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN6C326D0OtherBCBS OF MN
01017734OtherPREFERRED ONE
MN809840900Medicaid
HP44094OtherHEALTH PARTNERS
2201133OtherMEDICA CHOICE SELECT
MN1225850001Medicare NSC
MN809840900Medicaid
HP44094OtherHEALTH PARTNERS