Melinda L Hicks, O.D., P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1453 Issued in CO

Legal business name

MELINDA L HICKS, O.D., P.C.

Practice address

2737 Crossroads Blvd
Grand Junction, CO 81506-3954

Phone

(970) 243-9681

Fax

(970) 243-9155

NPI assigned

Jul 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joan M Milholland

Title

Accounts Manager

Phone

(970) 243-9681

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melinda Lee Hicks, O.D.

  • Optometrist
  • Grand Junction, CO
  • NPI 1154493500
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1053511345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 CROSSROADS BLVD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815063954",
            "telephone_number": "970-243-9681",
            "fax_number": "970-243-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 CROSSROADS BLVD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815063954",
            "telephone_number": "970-243-9681",
            "fax_number": "970-243-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELINDA L HICKS, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "MILHOLLAND",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "970-243-9681"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1453",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52436861",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Andrew Meinzen, MD
• Courtney Marie Meisner
• Lisa Marie Meisner, RPH
• Daniel Craig Meister, PT
• Diane Marie Melancon, MD
• Melissa L Posta Therapeutic Services
• Melissa L Posta Therapeutic Services
• Brooke Anne Melkus
• Hope Mellinger, MA, SLP - CCC
• Emmalene Beckstead Memmott, RD

• Optometrist in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.