Individual provider Active NPI

Melissa Kay Lorber, O.D.

  • Optometrist
  • Ellisville, MO
National Provider Identifier
1023373396
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2012018286 Issued in MO
Practice address
194 Clarkson Rd
Ellisville, MO 63011-2244
Phone
(636) 227-2020
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2012018286 MO Primary

Addresses

Primary practice location

194 Clarkson Rd
Ellisville, MO 63011-2244

Mailing address

PO Box 207158
Dallas, TX 75320-7158
Phone (636) 200-4393

Other practice location 1

821 Shady Castle Ct
Ballwin, MO 63021-4461
Phone (317) 691-3054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20150226000113 MO Practitioner - Optometry 9032435664 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarkson Optometry IncGroup PAC ID 0840411799, 82 clinicians

Practice addresses (Care Compare)

194 Clarkson Rd
Ellisville, MO 63011-2244
Phone (636) 227-2020

2404 Taylor Rd
Wildwood, MO 63040-1222
Phone (636) 458-8787

3122 S Grand Blvd
The Spec Shoppe
St Louis, MO 63118-1012
Phone (314) 450-7313

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc. Optometrist CurrentSince Dec 20, 2014 Accepting new patients
Sightrite Medical Mo LLC Optometrist CurrentSince Jul 1, 2020 Accepting new patients
Visionworks, Inc CurrentSince Dec 20, 2014 Accepting new patients
Clarkson Eyecare Optometrist Past Accepting new patients

Locations

307 E South St
Harrisonville, MO 64701
Phone (816) 380-7398

2825 S Glenstone Ave
Ste F11
Springfield, MO 65804
Phone (417) 882-3692

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

Networks

  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d

Organizations & group practices 5

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": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1023373396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207158",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207158",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 CLARKSON RD",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112244",
            "telephone_number": "636-227-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "821 Shady Castle Ct",
            "address_purpose": "LOCATION",
            "city": "Ballwin",
            "state": "MO",
            "postal_code": "630214461",
            "country_code": "US",
            "telephone_number": "317-691-3054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LORBER",
        "first_name": "MELISSA",
        "middle_name": "KAY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2012018286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellisville, MO

Sources for this page

Verify at the official NPI Registry.