Melrose & Melrose Optometrists

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MELROSE & MELROSE OPTOMETRISTS

Practice address

3133 W March LN Ste 2020
Stockton, CA 95219-2361

Phone

(209) 951-0820

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Robert Melrose, O.D.

Title

Owner

Phone

(209) 951-0820

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1417075144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 W MARCH LN STE 2020",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192361",
            "telephone_number": "209-951-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 W MARCH LN STE 2020",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192361",
            "telephone_number": "209-951-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELROSE & MELROSE OPTOMETRISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "MELROSE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-951-0820",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1346355401",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0075610",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0075260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Marina Mello
• Desiree Mello
• Pamela Taylor Mello, LMFT
• Reed Grant Mellor, MD
• Alisa Renae Melot, SUDRC
• Robert Melrose, O.D.
• Rosemary Melrose, O.D.
• Candice Melton, MFT
• Jennifer Rae Melton
• Kerrie L. Melton

• Optometrist in Stockton, CA
• Providers in Stockton, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.