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DR. GARY J. MELLON OD
NPI 1861472268
Optometrist in Boyne City, MI

Active since January 20, 2006
102 E MAIN ST, BOYNE CITY, MI 49712(231) 582-6704(231) 582-7113 Get Directions Write a Review

NPPES record last updated: September 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gary J. Mellon Od NPPES

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

DR. GARY J. MELLON OD (NPI 1861472268) is an individual optometrist in Boyne City, Michigan, licensed in Michigan (4901002461) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1861472268
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. GARY J. MELLONCredential: OD
Location Address102 E MAIN STBoyne City, MI 49712-1336
Mailing Address102 E Main StBoyne City, MI 49712-1336 · (231) 582-6704 · Fax (231) 582-7113
Phone(231) 582-6704
Fax(231) 582-7113
Sole ProprietorYes
Enumeration DateJanuary 20, 2006
Last NPPES UpdateSeptember 11, 2008
✔ NPI 1861472268 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 MI · 4901002461
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.
102 E MAIN ST, Boyne City, MI 49712
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Other Identifiers 5

Medicaid94 5024936MI
Medicare UPINT32679MI
Medicaid86 1862718MI
Medicare PIN0A56501MI
Medicare NSC0913350001

Other Providers at the Same Location NPPES

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

GARY J. MELLON ,O.D.,P.C.
Eyewear Supplier
102 E MAIN ST
BOYNE CITY, MI 49712
Charlevoix County (231) 582-6704

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 Gary Mellon's NPI number?

The NPI number for Gary Mellon is 1861472268. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Gary Mellon located?

Gary Mellon practices at 102 E Main St, Boyne City, MI 49712. The listed phone number is (231) 582-6704.

What is Gary Mellon's specialty?

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

When was this NPI record last updated?

The NPPES record for Gary Mellon was last updated on September 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.