Active NPI
Melinda Lee Hicks, O.D.
- Optometrist
- Grand Junction, CO
National Provider Identifier
1154493500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1453
- Practice address
- 2737 Crossroads Blvd
Grand Junction, CO 81506-3954 - Phone
- (970) 243-9681
- Fax
- (970) 243-9155
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1453 | CO | Primary |
Addresses
Primary practice location
2737 Crossroads Blvd
Grand Junction, CO 81506-3954
Mailing address
2737 Crossroads Blvd
Grand Junction, CO 81506-3954
Phone (970) 243-9681
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08145302 | Medicaid | CO | |
| 410046449 | Other | CO | METRA-HEALTH RR MDCR |
| 4285550001 | Other | CO | DMERC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melinda L Hicks, O.D., P.C. | Optometrist | Current | Accepting new patients |
| Hicks Eye Care, PC | Optometrist | Current | Accepting new patients |
Locations
2737 Crossroads Blvd
Grand Junction, CO 81506
Phone (970) 243-3061
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Grand Junction, CO
- NPI 1053511345
-
- Optometrist
- Grand Junction, CO
- NPI 1013853829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613001600000",
"number": "1154493500",
"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": {
"last_name": "HICKS",
"first_name": "MELINDA",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "1453",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08145302",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "METRA-HEALTH RR MDCR",
"identifier": "410046449",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "4285550001",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.