Active NPI
Norman Ronnie Melton, OD
- Optometrist
- Charlotte, NC
National Provider Identifier
1013961069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1055
- Practice address
- 6035 Fairview Rd
Charlotte, NC 28210-3256 - Phone
- (704) 295-3000
- Fax
- (704) 295-3468
- NPI assigned
- May 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1055 | NC | Primary |
Addresses
Primary practice location
6035 Fairview Rd
Charlotte, NC 28210-3256
Mailing address
6035 Fairview Rd
Charlotte, NC 28210-3256
Phone (704) 295-3000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN1055 | Medicaid | SC | |
| 410043542 | Other | RAILROAD MEDICARE | |
| 8909034 | Medicaid | NC | |
| 20088657 | Other | SC | SELECT HEALTH OF SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nmelton5699@direct.ceenta.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091223000460 | NC | Practitioner - Optometry | 2961542972 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Charlotte Eye Ear Nose and Throat Associates PA
Practice addresses (Care Compare)
6035 Fairview Rd
Charlotte, NC 28210-3256
Phone (704) 295-3000
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1055 | NC | MD | Clinical Child & Adolescent Psychologist |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charlotte Eye Ear Nose & Throat Associates, PA | Current | Accepting new patients | |
| Charlotte Eye Ear Nose & Throat Associates, P.a. | Optometrist | Current | Accepting new patients |
Locations
2325 W Arbors Dr
Ste 201
Charlotte, NC 28262
Phone (704) 295-3500
6035 Fairview Rd
Charlotte, NC 28210
Phone (336) 718-2078
724 Aubrey Bell Dr
Ste 201
Matthews, NC 28105
Networks
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
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.
-
- Ophthalmology Physician
- Charlotte, NC
- NPI 1043287469
NC, Optometrist
-
- Ophthalmology Physician
- Huntersville, NC
- NPI 1376738955
-
- Ophthalmology Physician
- Charlotte, NC
- NPI 1538305552
-
- Ophthalmology Physician
- Salisbury, NC
- NPI 1801217948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1013961069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6035 FAIRVIEW RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282103256",
"telephone_number": "704-295-3000",
"fax_number": "704-295-3468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6035 FAIRVIEW RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282103256",
"telephone_number": "704-295-3000",
"fax_number": "704-295-3468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELTON",
"first_name": "NORMAN",
"middle_name": "RONNIE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1055",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DN1055",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410043542",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8909034",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT HEALTH OF SC",
"identifier": "20088657",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nmelton5699@direct.ceenta.com",
"affiliation": "N",
"address_1": "6035 Fairview Rd",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282103256",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.