Douglas Carl Melzer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1931 - AT Issued in OR

Practice address

13140 NE Halsey St
Portland, OR 97230-2350

Phone

(503) 253-7278

Fax

(503) 253-0279

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OR, NY2 enrollments

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 2

Specialty

Optometry

Education

Pacific University - College of Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Plow Optometry PCGroup PAC ID 7517044886, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St. Patrick Hospital Hospital, Missoula, MT, CCN 270014

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Plow Optometry PC

  • Optometrist
  • Horseheads, NY
  • NPI 1396938940
  Medicare reassignment Care Compare group NPD
• Melzer & Breckenridge PC

  • Optometrist
  • Portland, OR
  • NPI 1578635785
  Medicare reassignment Authorized official
• National Eye Care, Inc

  • Optometrist
  • Fayetteville, NY
  • NPI 1427405133
  Medicare reassignment NPD
• Dr Karen a Winters O D P C

  • Optometrist
  • Syracuse, NY
  • NPI 1255600128
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health & Services Mt

  • General Acute Care Hospital
  • Missoula, MT
  • NPI 1023032588
  Care Compare affiliation
• Providence Health & Services Mt

  • Medical Oncology Physician
  • Missoula, MT
  • NPI 1326483587

  Hospital

  Care Compare affiliation
• Providence Health & Services Mt

  • Anatomic Pathology & Clinical Pathology Physician
  • Missoula, MT
  • NPI 1366185928

  Hospital

  Care Compare affiliation
• Providence Health & Services Mt

  • Psychiatric Hospital Unit
  • Missoula, MT
  • NPI 1619058302
  Care Compare affiliation

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1184693095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13140 NE HALSEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972302350",
            "telephone_number": "503-253-7278",
            "fax_number": "503-253-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13140 NE HALSEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972302350",
            "telephone_number": "503-253-7278",
            "fax_number": "503-253-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELZER",
        "first_name": "DOUGLAS",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1931 - AT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "810438002",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CHOICE 65",
            "identifier": "300365202",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043422",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Davidson Melvin, R.PH.
• Danielle Marie Melvin, ND
• Marcus W Melvin, M.D.
• Melzer & Breckenridge PC
• Cheryl Dawn Melzer, PT
• Keelan Denise Memory
• Tina Memsic
• Gerardo Mena, BA, CDC II
• Jessica C Mena, M.S. CF-SLP
• Mariam Mena, BDS, MSOFPOM

• Optometrist in Portland, OR
• Providers in Portland, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.