Timothy James Mellus, OD - Optometrist in Grandville, MI

Timothy James Mellus, OD is a Optometrist based in Grandville, Michigan. Timothy James Mellus is licensed to practice in Michigan (license number 4901002398) and his current practice location is 3700 Rivertown Pkwy Sw, Space 2112 Rivertown Crossings, Grandville, Michigan. He can be reached at his office (for appointments etc.) via phone at (616) 249-7362.

NPI number for Timothy James Mellus is 1588725964 and his current mailing address is 3700 Rivertown Pkwy Sw, Space 2112 Rivertown Crossings, Grandville, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588725964.

Contact Information

Timothy James Mellus, OD
3700 Rivertown Pkwy Sw, Space 2112 Rivertown Crossings,
Grandville, MI 49418-3085
(616) 249-7362
(616) 249-8097

Map and Direction




Healthcare Provider's Profile

Full NameTimothy James Mellus
GenderMale
SpecialityOptometrist
Location3700 Rivertown Pkwy Sw, Grandville, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1588725964
  • Provider Enumeration Date: 12/12/2006
  • Last Update Date: 03/10/2010

Medical Identifiers

Medical identifiers for Timothy James Mellus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588725964NPI-NPPES
OP27480OtherMIGROUP PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 4901002398 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Timothy James Mellus is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Timothy James Mellus, OD
3700 Rivertown Pkwy Sw, Space 2112 Rivertown Crossings,
Grandville, MI 49418-3085

Ph: (616) 249-7362
Timothy James Mellus, OD
3700 Rivertown Pkwy Sw, Space 2112 Rivertown Crossings,
Grandville, MI 49418-3085

Ph: (616) 249-7362

Reviews and Comments


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