Individual provider Active NPI

Melissa Ngo, OD

  • Optometrist
  • Lafayette, CA
National Provider Identifier
1184022691
Registry record updated Sep 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15018 Issued in CA
Practice address
958 Moraga Rd
Lafayette, CA 94549-4525
Phone
(925) 283-3821
Fax
(925) 283-3881
NPI assigned
Dec 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 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 15018 CA Primary

Addresses

Primary practice location

958 Moraga Rd
Lafayette, CA 94549-4525

Mailing address

958 Moraga Rd
Lafayette, CA 94549-4525
Phone (925) 283-3821

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
I20170120001428 CA Practitioner - Optometry 1153603410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frank G Zheng OD IncGroup PAC ID 7113213331, 7 clinicians

Practice addresses (Care Compare)

958 Moraga Rd
Lafayette, CA 94549-4525
Phone (925) 283-3821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15018CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Frank G Zheng O.D. Inc Optometrist CurrentSince Dec 17, 2016 Accepting new patients

Locations

958 Moraga Rd
Lafayette, CA 94549
Phone (925) 283-3821

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473552000000",
    "number": "1184022691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958 MORAGA RD",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494525",
            "telephone_number": "925-283-3821",
            "fax_number": "925-283-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 MORAGA RD",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494525",
            "telephone_number": "925-283-3821",
            "fax_number": "925-283-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "MELISSA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-15",
        "last_updated": "2016-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

Verify at the official NPI Registry.