DR. MELISSA MARLENE MEDLOCK O.D.
NPI 1356464705
Optometrist in Fort Wayne, IN

Active since April 09, 2007
333 E COLISEUM BLVD, FORT WAYNE, IN 46805(260) 483-2020 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Melissa Marlene Medlock O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MELISSA MARLENE MEDLOCK O.D. (NPI 1356464705) is an individual optometrist in Fort Wayne, Indiana, licensed in Indiana (18003215A) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1356464705
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MELISSA MARLENE MEDLOCKCredential: O.D.
Location Address333 E COLISEUM BLVDFort Wayne, IN 46805-1003
Mailing Address70 Western AveColdwater, MI 49036-1229 · (517) 278-9244
Sole ProprietorYes
Enumeration DateApril 9, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1356464705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in IN · 18003215A
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
333 E COLISEUM BLVD, Fort Wayne, IN 46805

Other Identifiers 1

Medicare ID-Type Unspecified210240IN

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
333 E COLISEUM BLVD
FORT WAYNE, IN 46805
Optometrist
333 E COLISEUM BLVD
FORT WAYNE, IN 46805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Medlock's NPI number?

The NPI number for Melissa Medlock is 1356464705. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Melissa Medlock located?

Melissa Medlock practices at 333 E Coliseum Blvd, Fort Wayne, IN 46805. The listed phone number is (260) 483-2020.

What is Melissa Medlock's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does Melissa Medlock accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 4 other insurers list Melissa Medlock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Melissa Medlock was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.