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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIMOTHY JAMES MELLUS, O.D.

Active

TIMOTHY JAMES MELLUS, O.D. is a Optometrist healthcare provider located in GRANDVILLE, Michigan. NPI 1588725964 is currently active in the NPPES registry. Verify at CMS.

Optometrist · GRANDVILLE, MI

Registration Details

NPI Number
1588725964
Provider Type
Individual
Gender
Male
NPI Issued
Dec 12, 2006 (19.649995191861 yrs)
Last Updated
Mar 10, 2010
License
4901002398 (MI)

Practice Information

Address
3700 RIVERTOWN PKWY SW
SPACE 2112 RIVERTOWN CROSSINGS
GRANDVILLE, MI, 494183085
Browse MI providers · Browse ZIP 49418
Phone
6162497362
Fax
6162498097
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in GRANDVILLE, MI

Name Credential NPI
DR. JAMES W. BURTON O.D. 1942271036
DR. SCOTT R MILLER O.D. 1922079011
SUSAN K MILLER O.D. 1972667764
PHILIP HUNT OD 1609917954
DR. MARIBETH ANDERSON BANGERT O.D. 1619096799
DR. CALVIN DANIEL EBELS O.D. 1306063532
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.