Individual provider Active NPI

Melissa Stiling, O.D.

  • Optometrist
  • Boiling Springs, SC
National Provider Identifier
1174759948
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1554 Issued in SC
Practice address
2603 Boiling Springs Rd
Suite B
Boiling Springs, SC 29316-6011
Phone
(864) 578-3926
NPI assigned
Jun 6, 2009
Last updated
Jul 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1554 SC Primary

Addresses

Primary practice location

2603 Boiling Springs Rd
Suite B
Boiling Springs, SC 29316-6011

Mailing address

2603 Boiling Springs Rd
Suite B
Boiling Springs, SC 29316-6011
Phone (864) 578-3926

Other identifiers 1

IdentifierTypeStateIssuer
D15543MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20090914000626 SC Practitioner - Optometry 7719033984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Vision, LLCGroup PAC ID 2860523701, 2 clinicians

Practice addresses (Care Compare)

2603 Boiling Springs Rd
B
Boiling Springs, SC 29316-6011
Phone (864) 578-3926

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Vision, LLC Optometrist CurrentSince Apr 5, 2010 Accepting new patients

Locations

2603 Boiling Springs Rd
Boiling Springs, SC 29316

2603 Boiling Springs Rd
#B
Boiling Springs, SC 29316
Phone (864) 578-3926

Organizations & group practices 1

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": "1244246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1174759948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 BOILING SPRINGS RD",
            "address_2": "SUITE B",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293166011",
            "telephone_number": "864-578-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 BOILING SPRINGS RD",
            "address_2": "SUITE B",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293166011",
            "telephone_number": "864-578-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILING",
        "first_name": "MELISSA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-06",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D15543",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boiling Springs, SC

Sources for this page

Verify at the official NPI Registry.