Robert Melton, L.D.O

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DO5170 Issued in FL

Practice address

1239 State Road 436 Ste 101
Casselberry, FL 32707-6447

Phone

(407) 677-7813

Fax

(407) 677-9364

NPI assigned

Oct 17, 2024

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1740001312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 STATE ROAD 436 STE 101",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327076447",
            "telephone_number": "407-677-7813",
            "fax_number": "407-677-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 STATE ROAD 436 STE 101",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327076447",
            "telephone_number": "407-677-7813",
            "fax_number": "407-677-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTON",
        "first_name": "ROBERT",
        "credential": "L.D.O",
        "sole_proprietor": "YES",
        "sex": "U",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO5170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in Casselberry, FL
• Providers in Casselberry, FL by specialty
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.