Gary J. Mellon ,o.d.,p.c.

NPI #1609045921 in Boyne City, Michigan

Provider Information

NPI Number: 1609045921
Entity Type: Organization
Organization Name: Gary J. Mellon ,o.d.,p.c.
Primary Specialty: Eyewear Supplier
Enumeration Date: Feb 21, 2008
Last Updated: Feb 26, 2008

Practice Location

Address: 102 E MAIN ST
City: Boyne City
State: Michigan
ZIP Code: 49712-1336
Phone: (231) 582-6704

Authorized Official

Name: DR. GARY J. MELLON, O.D.
Title: OWNER
Phone: (231) 582-6704

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Eyewear Supplier	332H00000X	Primary

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