| Dr Derek Joseph Melton, OD | |
|
4061 Hwy Pp Suite 1, Melton Eye Care Associates, Poplar Bluff, MO 63901 | |
| (573) 778-9143 | |
| (573) 778-9164 |
| Full Name | Dr Derek Joseph Melton |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 4061 Hwy Pp Suite 1, Poplar Bluff, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922058429 | NPI | - | NPPES |
| 317617207 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WC0802X | Optometrist - Corneal And Contact Management | 2004006937 (Missouri) | Secondary |
| 152W00000X | Optometrist | MO2004006937 (Missouri) | Primary |
| Provider Name | Choctaw Nation Of Oklahoma |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derek Joseph Melton, OD 4061 Hwy Pp Suite 1, Melton Eye Care Associates, Poplar Bluff, MO 63901 Ph: (573) 778-9143 | Dr Derek Joseph Melton, OD 4061 Hwy Pp Suite 1, Melton Eye Care Associates, Poplar Bluff, MO 63901 Ph: (573) 778-9143 |
Dr. Kayla S Melton, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-778-4303 | |
Drjerry W Long Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 213 N Broadway St, Poplar Bluff, MO 63901 Phone: 573-785-8476 Fax: 573-785-8477 | |
Dr. Michael R. Penney Optometrist Pc Optometrist Medicare: Medicare Enrolled Practice Location: 3061 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-785-1442 Fax: 573-776-6024 | |
Franklin Vision Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 333 S Westwood Blvd, Vision Center, Poplar Bluff, MO 63901 Phone: 409-617-9774 | |
Dr Jerry W Long Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 213 N Broadway St, Poplar Bluff, MO 63901 Phone: 573-785-8476 Fax: 573-785-8477 | |
Tyler N Tinsley, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2400 Lucy Lee Pkwy Ste E, Poplar Bluff, MO 63901 Phone: 573-686-3991 Fax: 573-686-3992 | |
Dr. Jerry Wayne Long, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 213 N Broadway St, Poplar Bluff, MO 63901 Phone: 573-785-8476 Fax: 573-785-8477 |