Healthcare Provider Details

I. General information

NPI: 1689901399
Provider Name (Legal Business Name): MARIA CRISTINA MELENDEZ OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2009
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7705 WADSWORTH BLVD STE A1
ARVADA CO
80003-2144
US

IV. Provider business mailing address

7705 WADSWORTH BLVD STE A1
ARVADA CO
80003-2144
US

V. Phone/Fax

Practice location:
  • Phone: 720-302-9571
  • Fax: 303-423-8201
Mailing address:
  • Phone: 720-302-9571
  • Fax: 303-423-8201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2763
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: