Healthcare Provider Details
I. General information
NPI: 1013853829
Provider Name (Legal Business Name): HICKS EYE CARE, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2504 HWY 6 AND 50 STE 200
GRAND JUNCTION CO
81505-7170
US
IV. Provider business mailing address
2504 HWY 6 AND 50 STE 200
GRAND JUNCTION CO
81505-7170
US
V. Phone/Fax
- Phone: 970-257-3406
- Fax: 970-245-0899
- Phone: 970-257-3406
- Fax: 970-245-0899
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MELINDA
LEE
HICKS
Title or Position: PRESIDENT
Credential: OD
Phone: 970-250-5063