Individual provider Active NPI

Melissa Lynn Carr, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1093848954
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006997 Issued in NY
Practice address
151 W 34TH St
Macys Vision Express
New York, NY 10001-2101
Phone
(212) 494-7300
Fax
(212) 494-1123
NPI assigned
Mar 13, 2007
Last updated
Feb 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006997 NY Primary

Addresses

Primary practice location

151 W 34TH St
Macys Vision Express
New York, NY 10001-2101

Mailing address

151 W 34TH St
Macys Vision Express
New York, NY 10001-2101
Phone (212) 494-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240219002906 NY Practitioner - Optometry 2163866039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optyx LLCGroup PAC ID 6406207737, 10 clinicians

Practice addresses (Care Compare)

10095 Main Rd
Mattituck, NY 11952-1658
Phone (631) 298-9555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV006997NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optyx LLC Optometrist CurrentSince Dec 24, 2023 Accepting new patients
Optyx LLC Optometrist CurrentSince Dec 24, 2023 Accepting new patients
Mendelsohn Medical, PLLC Past Accepting new patients
North Fork Optical Center, LTD Past Accepting new patients
Optyx LLC Past Accepting new patients
Macy's Vision Express Optometrist Past Accepting new patients

Locations

312 Springfield Ave
Berkeley Hts, NJ 07922
Phone (908) 336-5661

1806 Deer Park Ave
Deer Park, NY 11729
Phone (631) 667-4166

190 Wheatley Plz
Greenvale, NY 11548
Phone (516) 686-6512

10095 Main Rd
Mattituck, NY 11952
Phone (631) 213-4499

10095 Main Rd
Unit 2
Mattituck, NY 11952
Phone (631) 298-9555

2384 Broadway
New York, NY 10024
Phone (212) 724-0850

1092 Route 112
Port Jefferson Station, NY 11776
Phone (631) 474-3937

36 Main St
Prt Washingtn, NY 11050
Phone (516) 883-8388

7947 Jericho Tpke
Unit A
Woodbury, NY 11797
Phone (516) 921-2040

Organizations & group practices 6

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1093848954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 W 34TH ST",
            "address_2": "MACYS VISION EXPRESS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012101",
            "telephone_number": "212-494-7300",
            "fax_number": "212-494-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W 34TH ST",
            "address_2": "MACYS VISION EXPRESS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012101",
            "telephone_number": "212-494-7300",
            "fax_number": "212-494-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "MELISSA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.