| Dr Libertad Melendez, OD | |
|
655 7th St, 78 Mdg/sgpfe, Robins Afb, GA 31098-2227 | |
| (478) 284-9484 | |
| Not Available |
| Full Name | Dr Libertad Melendez |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 655 7th St, Robins Afb, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124083886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 001344 (Georgia) | Primary |
| 152W00000X | Optometrist | 1806 (Colorado) | Secondary |
| Provider Name | Chance Talley Enterprises Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265097240 PECOS PAC ID: 6002233905 Enrollment ID: O20200824001716 |
| Provider Name | Family First Vision Care Georgia |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649881236 PECOS PAC ID: 3173934981 Enrollment ID: O20201201000312 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Libertad Melendez, OD 239 Ellicott Dr, Warner Robins, GA 31088-3068 Ph: (478) 284-9484 | Dr Libertad Melendez, OD 655 7th St, 78 Mdg/sgpfe, Robins Afb, GA 31098-2227 Ph: (478) 284-9484 |
Dr. Stephanie Irene King, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 655 7th St Bldg 700, Robins Afb, GA 31098 Phone: 478-327-8487 | |
Miss Tina Marie Luichinger, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 655 7th St, Robins Afb, GA 31098 Phone: 478-327-8352 | |
John A Kauderman Jr., OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 655 South 7th St Bldg 700/700a, Robins Afb, GA 31098 Phone: 478-327-8352 |