Individual provider Active NPI

Melisa Shannon Hockett, O.D.

  • Corneal and Contact Management Optometrist
  • Orlando, FL
National Provider Identifier
1003122276
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OPC 4565 Issued in FL
Practice address
214 E Marks St
Orlando, FL 32803-3819
Phone
(407) 841-6220
Fax
(407) 423-2285
NPI assigned
Aug 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OPC 4565 FL Primary

Addresses

Primary practice location

214 E Marks St
Orlando, FL 32803-3819

Mailing address

214 E Marks St
Orlando, FL 32803-3819
Phone (407) 841-6220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181004002188 NM Practitioner - Optometry 4880860998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albuquerque Associates of OptometryGroup PAC ID 9335138452, 6 clinicians

Practice addresses (Care Compare)

3701 Eubank Blvd NE
Sandia Vision Clinic
Albuquerque, NM 87111-3536
Phone (505) 298-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 4565FLMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Albuquerque Associates of Optometry Current Accepting new patients
Albuquerque Associates of Optometry CurrentSince Aug 8, 2018 Accepting new patients

Locations

3701 Eubank Blvd NE
Albuquerque, NM 87111
Phone (505) 298-2020

112 Hermosa Dr SE
Albuquerque, NM 87108
Phone (505) 265-3443

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1003122276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E MARKS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033819",
            "telephone_number": "407-841-6220",
            "fax_number": "407-423-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E MARKS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033819",
            "telephone_number": "407-841-6220",
            "fax_number": "407-423-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOCKETT",
        "first_name": "MELISA",
        "middle_name": "SHANNON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC 4565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.