Timothy James Mellus in Grandville - Optometrist
Timothy James Mellus - NPI 1588725964
Timothy James Mellus is a Optometrist in Grandville, Michigan. Timothy James Mellus practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Timothy James Mellus is 1588725964. The last update date is 2010-03-10.
Timothy James Mellus's current location address is 3700 Rivertown Pkwy Sw, Grandville, Michigan. You can contact this provider via phone number 6162497362 and fax number 6162498097. The mailing address for Timothy James Mellus is 3700 Rivertown Pkwy Sw, Grandville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy James Mellus |
|---|---|
| Address | 3700 Rivertown Pkwy Sw, Grandville, Michigan |
| Phone Number | 6162497362 |
| Fax Number | 6162498097 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1588725964 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2010-03-10 |
Provider Mailing Address Detail
| Address | 3700 Rivertown Pkwy Sw |
|---|---|
| City | Grandville |
| State | Michigan (MI) |
| Post Code | 494183085 |
| Phone Number | 6162497362 |
| Fax Number | 6162498097 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 4901002398 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| OP27480 | MI | GROUP PTAN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Timothy James Mellus?
The Timothy James Mellus has been issued the NPI (National Provider Identifier) 1588725964 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Timothy James Mellus is located?
The Timothy James Mellus is situated at the following address: 3700 Rivertown Pkwy Sw, Grandville, MI, 494183085.
What is Timothy James Mellus's area of expertise and its corresponding taxonomy classification?
The Timothy James Mellus's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1588725964 to Timothy James Mellus?
The Centers for Medicare & Medicaid Services assigned the 1588725964 to Timothy James Mellus on 2006-12-12.
When was the information pertaining to Timothy James Mellus most recently updated or revised?
The details related to Timothy James Mellus, including its address, specialty, and other relevant information, were last updated or revised on 2010-03-10.
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