| Donna R Melton, OD | |
|
14263 S School House Cir, Herriman, UT 84096-3471 | |
| (703) 853-7735 | |
| Not Available |
| Full Name | Donna R Melton |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 14263 S School House Cir, Herriman, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447446182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 0618000803 (Virginia) | Secondary |
| 152W00000X | Optometrist | 10411240-9934 (Utah) | Primary |
| Provider Name | Daniel Poth, O.d. And Associates, P.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154354041 PECOS PAC ID: 0547155806 Enrollment ID: O20041117001132 |
| Mailing Address | Practice Location Address |
|---|---|
| Donna R Melton, OD Psc 477 Box 578, Fpo, AP 96306-0006 Ph: (703) 853-7735 | Donna R Melton, OD 14263 S School House Cir, Herriman, UT 84096-3471 Ph: (703) 853-7735 |
Dr. Chad O Anderson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5532 W Herriman Main St Ste 120, Herriman, UT 84096 Phone: 801-302-3080 Fax: 801-302-8008 | |
Family Focused Eyecare Llc Optometrist Medicare: Medicare Enrolled Practice Location: 5528 W 13400 S, Herriman, UT 84096 Phone: 801-302-3080 Fax: 801-302-8008 | |
Dr. Paul Hulet, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5528 W 13400 S, Herriman, UT 84096 Phone: 801-302-3080 Fax: 801-302-8008 |