Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1245374487 Deactivated / Inactive NPI Male Practitioner

Dr. Jack W Melton , OD

Optometrist • Edmond, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Melton has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 19, 2007
NPI Deactivation Date September 20, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Melton, OD was a registered Optometrist practicing in Edmond, OK. Throughout an active medical career spanning 11 years, Dr. Melton provided care at the practice location at 1333 W 33RD ST until profile deactivation on 2018-09-20.

Practice Location & Contact Primary Location

Practice Address

1333 W 33rd St

Edmond, OK 730133830

Telephone 4054784444
Fax 4054784497
Associated Practice Facility / Clinic
🏢 Omni Eye Center Edmond Inc. Facility NPI 1902936347

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Edmond, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.4 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
48 Specialists

Practicing in Edmond, OK (943 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OK 825

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Evan Dunn

Optometrist

NPI 1639625924
NPI 1790829935

Doctor of Optometry

NPI 1821473232

Doctor of Optometry

NPI 1881738029

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 20, 2018

Record deactivated on September 20, 2018

NPI Profile Active August 27, 2009

NPI status registered as active in NPPES database

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Updated Practice Location August 27, 2009

Registered at 1333 W 33RD ST, EDMOND, OK 730133830 (Tel: 4054784444)

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Updated Business Mailing Address August 27, 2009

Registered at 1333 W 33RD ST, EDMOND, OK 730136306 (Tel: 4054784444)

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Provider Name / Credentials Updated August 27, 2009

Recorded as JACK MELTON, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2009

Optometrist (License #825 in OK)

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Initial NPI Registration & Enumeration February 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245374487
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 19, 2007
Last Update: August 27, 2009
Deactivation Date: September 20, 2018

Mailing Address

1333 W 33rd St

Edmond, OK 730136306

Phone: 4054784444

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.