Individual provider Active NPI

Amanda Lee Melendez, OD

  • Optometrist
  • Dallas, TX
National Provider Identifier
1124541693
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9233TG Issued in TX
Practice address
5750 Pineland Dr Ste 398
Dallas, TX 75231-5300
Phone
(214) 221-0855
NPI assigned
Jul 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT0003719 CO
Optometrist 152W00000X 9233TG TX Primary

Addresses

Primary practice location

5750 Pineland Dr Ste 398
Dallas, TX 75231-5300

Mailing address

5750 Pineland Dr Ste 398
Dallas, TX 75231-5300
Phone (214) 221-0855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT0003719COMDOptometrist
9233TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
B & E Optical Inc. CurrentSince May 18, 2025 Accepting new patients
Sunrise Community Health Current Accepting new patients
Healing Hands Ministries Inc. Past Accepting new patients
Healing Hands Ministries Inc. Past Accepting new patients

Locations

2930 11th Ave
Evans, CO 80620
Phone (970) 350-4606

302 3rd St SE
Ste 150
Loveland, CO 80537
Phone (970) 669-4855

5750 Pineland Dr
Ste 398
Dallas, TX 75231

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJDGBD

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": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1124541693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 PINELAND DR STE 398",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315300",
            "telephone_number": "214-221-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 PINELAND DR STE 398",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315300",
            "telephone_number": "214-221-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT0003719",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9233TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.