| Melinda L Hicks, O.d., P.c. | |
|
2737 Crossroads Blvd Grand Junction CO 81506-3954 | |
| (970) 243-9681 | |
| (970) 243-9155 |
| Full Name | Melinda L Hicks, O.d., P.c. |
|---|---|
| Speciality | Optometrist |
| Location | 2737 Crossroads Blvd, Grand Junction, Colorado |
| Authorized Official Name and Position | Joan M Milholland (ACCOUNTS MANAGER) |
| Authorized Official Contact | 9702439681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melinda L Hicks, O.d., P.c. 2737 Crossroads Blvd Grand Junction CO 81506-3954 Ph: (970) 243-9681 | Melinda L Hicks, O.d., P.c. 2737 Crossroads Blvd Grand Junction CO 81506-3954 Ph: (970) 243-9681 |
| NPI Number | 1053511345 |
|---|---|
| Provider Enumeration Date | 07/24/2007 |
| Last Update Date | 02/09/2021 |
| Medicare PECOS PAC ID | 0749256097 |
|---|---|
| Medicare Enrollment ID | O20040908000576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053511345 | NPI | - | NPPES |
| 52436861 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 152W00000X | Optometrist | 1453 (Colorado) | Primary |
| Provider Name | Melinda L Hicks |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154493500 PECOS PAC ID: 8325171713 Enrollment ID: I20100805000634 |
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