Individual provider Active NPI

Melissa Therese Hautea Paragas, OD

  • Optometrist
  • Tallahassee, FL
National Provider Identifier
1083195697
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34072TLG Issued in CA
Practice address
2181 Orange Ave E
Tallahassee, FL 32311-6144
Phone
(510) 931-8755
NPI assigned
Aug 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 34072TLG CA Primary

Addresses

Primary practice location

2181 Orange Ave E
Tallahassee, FL 32311-6144

Mailing address

2839 Sweet Ridge St
Tallahassee, FL 32308-4798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200221002346 CA Practitioner - Optometry 1759718240 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Auburn Eye Care AssociatesGroup PAC ID 4880711902, 5 clinicians

Practice addresses (Care Compare)

3211 Fortune CT
Suite a
Auburn, CA 95602-9245
Phone (530) 885-6241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34072TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
H Douglas Cooper MD Inc Optometrist CurrentSince Nov 1, 2022 Accepting new patients
Auburn Eye Care Associates Optometrist CurrentSince Sep 1, 2022 Accepting new patients
Lillie Mosaddegh MD Inc Multi-Specialty CurrentSince Dec 15, 2019 Accepting new patients
Auburn Eye Care Associates Optometrist CurrentSince Sep 1, 2022 Accepting new patients
Sutter Bay Medical Foundation Multi-Specialty PastSince Dec 15, 2019 Accepting new patients

Locations

3211 Fortune Ct
Auburn, CA 95602
Phone (530) 885-6241

3211 Fortune Ct
Ste A
Auburn, CA 95602
Phone (530) 885-6241

333 S Auburn St
Ste 1
Colfax, CA 95713
Phone (530) 346-2269

1220 25th St
Sacramento, CA 95816
Phone (916) 452-4706

490 Post St
Ste 1440
San Francisco, CA 94102
Phone (415) 392-4437

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": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1083195697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2839 SWEET RIDGE ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2181 ORANGE AVE E",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323116144",
            "telephone_number": "510-931-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARAGAS",
        "first_name": "MELISSA THERESE",
        "middle_name": "HAUTEA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34072TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.