Active NPI
Melissa Kay Lorber, O.D.
- Optometrist
- Ellisville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2012018286
- 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
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 | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
| Sightrite Medical Mo LLC | Optometrist | Current | Accepting new patients |
| Visionworks, Inc | Current | 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.
-
- Optometrist
- Ellisville, MO
- NPI 1497155345
-
- Optometrist
- Harrisonville, MO
- NPI 1407472434
-
- Optometrist
- Independence, MO
- NPI 1649203308
-
- Eyewear Supplier
- Simpsonville, SC
- NPI 1699571166
-
- Optometrist
- Eureka, MO
- NPI 1205817731
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.