Melton, Alissa Peterson

Melton, Alissa Peterson is an sole proprietor health care provider with primary practice located at 1333 W 33Rd St , Edmond OK 73013-3830. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Melton, Alissa Peterson can be contacted via phone (405) 478-4444.

Contact Information

Primary practice address
1333 W 33Rd St Edmond OK 73013-3830
Fax: (405) 478-4497
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2310 Oklahoma
Eye and Vision Services Providers / Optometrist 152W00000X 3614 Washington

Profile Details

NPI number 1790829935
LBN Legal business name Melton, Alissa Peterson
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2007
Last updated Aug 24th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790829935 NPPES
Oklahoma Other 731451944 0003 CIGNA PPO

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