Individual
MELANIE TOLAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
8405 PARK MEADOWS CENTER DR STE 1000, LONE TREE, CO 80124-5025
(303) 649-9500
(303) 649-9133
Mailing address
6650 S VINE ST STE 160, CENTENNIAL, CO 80121-2769
(303) 798-5533
(303) 798-2800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3303
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01102011
APPLICATION DATE
—
Enumeration date
01/10/2011
Last updated
04/11/2023
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