Individual provider Active NPI

Melda Nil Gerow, O.D.

  • Optometrist
  • Winthrop, MA
National Provider Identifier
1003367145
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5186 Issued in MA
Practice address
42 Woodside Ave
Winthrop, MA 02152-2920
Phone
(617) 213-2131
Fax
(617) 213-2001
NPI assigned
Oct 24, 2016
Reactivated
Aug 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5186 MA Primary

Addresses

Primary practice location

42 Woodside Ave
Winthrop, MA 02152-2920

Mailing address

42 Woodside Ave
Winthrop, MA 02152-2920
Phone (617) 213-2131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20170220000384 MA Practitioner - Optometry 7214210137 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

42 Woodside Ave
Winthrop, MA 02152-2920
Phone (857) 654-2396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5186MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Eye Care, Inc CurrentSince Feb 1, 2017 Accepting new patients
Winthrop Eye Center, LLC Optometrist CurrentSince Apr 1, 2021 Accepting new patients
David E. Eisenberg, M.D. CurrentSince Apr 1, 2021 Accepting new patients
Pioneer Medical Center Past Accepting new patients

Locations

116R Highland Ave
Ste 2
Salem, MA 01970
Phone (978) 745-0654

42 Woodside Ave
Winthrop, MA 02152
Phone (617) 539-0909

Organizations & group practices 4

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": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1003367145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 WOODSIDE AVE",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021522920",
            "telephone_number": "617-213-2131",
            "fax_number": "617-213-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 WOODSIDE AVE",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021522920",
            "telephone_number": "617-213-2131",
            "fax_number": "617-213-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEROW",
        "first_name": "MELDA",
        "middle_name": "NIL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-02",
        "deactivation_date": "2022-07-19",
        "reactivation_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winthrop, MA

Sources for this page

Verify at the official NPI Registry.