Healthcare Provider Details

I. General information

NPI: 1518881200
Provider Name (Legal Business Name): MELISSA D BARTLEY OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8521 HIGHWAY 72 W
MADISON AL
35758-9579
US

IV. Provider business mailing address

PO BOX 1215
JENKINS KY
41537-1215
US

V. Phone/Fax

Practice location:
  • Phone: 256-461-8800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberS-F83-TA-E06
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: