Gary J. Mellon ,O.D.,P.C.

LBN: Gary J. Mellon ,O.D.,P.C.
Gary J. Mellon ,O.D.,P.C. is an health care organization with primary practice located at 102 E Main St , Boyne City MI 49712-1336. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Suppliers / Eyewear Supplier (Equipment, not the service) is the primary health care specialty. Gary J. Mellon ,O.D.,P.C. can be contacted via phone (231) 582-6704, or through Mellon, Gary J. via phone (231) 582-6704.

Contact Information

Primary practice address
102 E Main St Boyne City MI 49712-1336
Phone: (231) 582-6704
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mellon, Gary J. Doctor of Optometry (OD)
Phone: (231) 582-6704

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1609045921
LBN Legal business name Gary J. Mellon ,O.D.,P.C.
DBA Doing business as
Authorized official Mellon, Gary J. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2008
Last updated Feb 26th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609045921 NPPES
Michigan Other 7000020361 PRIORITY HEALTH

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