Individual
DR. DEREK JOSEPH MELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MO2004006937
MO
152WC0802X
Corneal and Contact Management Optometrist
128991
IA
152WC0802X
Corneal and Contact Management Optometrist
2004006937
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317617207
—
MO
Enumeration date
05/12/2006
Last updated
02/20/2026
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