Individual
MELINDA B GUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
302 W 14TH ST, STE 100, JEFFERSONVILLE, IN 47130-3751
(812) 284-0660
(812) 284-3822
Mailing address
302 W 14TH ST, STE 100, JEFFERSONVILLE, IN 47130-3751
(812) 284-0660
(812) 284-3822
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002992A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000352903
ANTHEM
—
01
—
046922
SIHO
—
05
—
200246740
—
IN
01
—
351995025
HUMANA
—
01
—
P00199316
CMS MEDICARE RAILROAD
KY
01
—
P00201953
CMS MEDICARE RAILROAD
IN
Enumeration date
06/21/2005
Last updated
10/23/2020
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