Individual
DR. ALISSA PETERSON MELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1333 W 33RD ST, EDMOND, OK 73013-3830
(405) 478-4444
(405) 478-4497
Mailing address
1333 W 33RD ST, EDMOND, OK 73013-3830
(405) 478-4444
(405) 478-4497
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2310
OK
152W00000X
Optometrist
3614
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
731451944 0003
CIGNA PPO
OK
Enumeration date
02/19/2007
Last updated
08/24/2009
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