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Contact Information

DEREK J MELTON, OD
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ86504
 Phone: 928-729-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for DEREK J MELTON · (Male)

NPI Number 1922058429
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/12/2006
Last updated 02/20/2026 - About 3 months ago
Sole proprietor 1 Yes
Identifiers
  • IA License # 128991
  • MO License # 2004006937
  • MO License # MO2004006937
  • MO Medicaid 317617207
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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