DR. Derek Mellott, O.D.

NPI #1982624870 in Boardman, Ohio

Provider Information

NPI Number: 1982624870
Entity Type: Individual
Name: DR. Derek Mellott, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 20, 2006
Last Updated: Dec 28, 2007

Practice Location

Address: 8277 MARKET ST
Address 2: SUITE B
City: Boardman
State: Ohio
ZIP Code: 44512-6246
Phone: (330) 726-5544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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