Individual provider Active NPI

Melanie Kay Miller, O.D.

  • Optometrist
  • Dickinson, ND
National Provider Identifier
1053310243
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
560 Issued in ND
Practice address
2273 3Rd Ave W
Ste D-1
Dickinson, ND 58601-2605
Phone
(701) 225-7886
Fax
(701) 225-8148
NPI assigned
Jul 19, 2005
Last updated
Sep 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 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 560 ND Primary

Addresses

Primary practice location

2273 3Rd Ave W
Ste D-1
Dickinson, ND 58601-2605

Mailing address

2273 3Rd Ave W
Dickinson, ND 58601-2605
Phone (701) 225-7886

Other identifiers 1

IdentifierTypeStateIssuer
60511MedicaidND

Other names 1

  • Dr. Melanie Kay Oltmanns Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20050108000130 ND Practitioner - Optometry 6800844614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Melanie Oltmanns OD PCGroup PAC ID 7214987452, 2 clinicians

Practice addresses (Care Compare)

2273 3Rd Ave W
Dickinson, ND 58601-2605
Phone (701) 225-7886

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Melanie Oltmanns OD PC Optometrist CurrentSince Dec 1, 2004 Accepting new patients
Eyewear Concepts Inc Optometrist Past Accepting new patients

Locations

2273 3rd Ave W
Dickinson, ND 58601
Phone (701) 225-7886

2273 3rd Ave W
Ste D1
Dickinson, ND 58601
Phone (701) 225-7886

448 21st St W
Ste D1
Dickinson, ND 58601
Phone (701) 483-1000

Interoperability endpoints

  • Direct secure messaging: melanieoltmanns@direct.revolutionehr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1053310243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2273 3RD AVE W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586012605",
            "telephone_number": "701-225-7886",
            "fax_number": "701-225-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2273 3RD AVE W",
            "address_2": "STE D-1",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586012605",
            "telephone_number": "701-225-7886",
            "fax_number": "701-225-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MELANIE",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60511",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "OLTMANNS",
            "middle_name": "KAY",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dickinson, ND

Sources for this page

Verify at the official NPI Registry.