Melanie Tolan Davis, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3303 Issued in CO

Practice address

8405 Park Meadows Center Dr Ste 1000
Lone Tree, CO 80124-5025

Phone

(303) 649-9500

Fax

(303) 649-9133

NPI assigned

Jan 10, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Optometry

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Altitude Eye CareGroup PAC ID 2365778065, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Altitude Eye Care

  • Optometrist
  • Lone Tree, CO
  • NPI 1235797796
  Medicare reassignment Care Compare group NPD
• Altitude Eye Care at Castlerock, PLLC

  • Optometrist
  • Castle Rock, CO
  • NPI 1679187850
  Medicare reassignment NPD
• Southlands Vision Associates

  • Optometrist
  • Aurora, CO
  • NPI 1184645178
  Medicare reassignment NPD

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1063716702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 S VINE ST STE 160",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801212769",
            "telephone_number": "303-798-5533",
            "fax_number": "303-798-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8405 PARK MEADOWS CENTER DR STE 1000",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245025",
            "telephone_number": "303-649-9500",
            "fax_number": "303-649-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MELANIE",
        "middle_name": "TOLAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "3303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APPLICATION DATE",
            "identifier": "01102011",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serena Davis-Guillory
• Johnathan Lee William Davis, D.O.
• Joseph Lawrence Davis
• Kelly Nicole Davis, DO
• Lynn Marie Davis
• Shaquille Davis
• Dawn M. Stanley, M. D., PC
• Adia De Los Santos
• Deanna Woodroffe LLC
• Tara Mendozza Decrescentis, PA-C.

• Optometrist in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.

Verify at the official NPI Registry.