Individual provider Active NPI

Melissa Catherine Vanray, O.D.

  • Optometrist
  • Westminster, CO
National Provider Identifier
1104017409
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2999 Issued in CO
Practice address
11480 Sheridan Blvd
Suite 100
Westminster, CO 80020-3319
Phone
(303) 404-2020
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5721 OH
Optometrist 152W00000X T2635 OH
Optometrist 152W00000X 2999 CO Primary

Addresses

Primary practice location

11480 Sheridan Blvd
Suite 100
Westminster, CO 80020-3319

Mailing address

10228 W 52ND PL
304
Wheat Ridge, CO 80033-6609
Phone (440) 897-0532

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20141017000329 CO Practitioner - Optometry 0446348049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Vista Eye Care, PCGroup PAC ID 8123152113, 9 clinicians

Practice addresses (Care Compare)

13695 Colorado Blvd
Thornton, CO 80602-7051
Phone (303) 450-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5721OHMDOptometrist
T2635OHMDOptometrist
2999COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Eye Care, PC Optometrist CurrentSince Jul 1, 2014 Accepting new patients
Complete Eye Care, Inc. Optometrist PastSince Sep 3, 2017 Accepting new patients
Vision & Eye Health Associates Optometrist Past Accepting new patients
DHHS PHS Naihs Kayenta Health Center Past Accepting new patients

Locations

13695 Colorado Blvd
Thornton, CO 80602
Phone (303) 450-2020

Organizations & group practices 4

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1104017409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10228 W 52ND PL",
            "address_2": "304",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336609",
            "telephone_number": "440-897-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11480 SHERIDAN BLVD",
            "address_2": "SUITE 100",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800203319",
            "telephone_number": "303-404-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANRAY",
        "first_name": "MELISSA",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5721",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "T2635",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.