Individual provider Active NPI

Melissa Ann Misko Blanton, O.D.

  • Optometrist
  • Morrisville, NC
National Provider Identifier
1194988857
Registry record updated May 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2224 Issued in NC
Practice address
7100 Kit Creek Rd BLDG 9
Morrisville, NC 27560-8663
Phone
(919) 392-2002
NPI assigned
Jul 2, 2008
Last updated
May 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2224 NC Primary

Addresses

Primary practice location

7100 Kit Creek Rd BLDG 9
Morrisville, NC 27560-8663

Mailing address

1248 Capstone Dr
Durham, NC 27713-7293
Phone (630) 881-0780

Other identifiers 2

IdentifierTypeStateIssuer
01479600MedicaidFL
5922181MedicaidNC

Other names 1

  • Melissa Ann Misko Former name

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
2224NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates OD PA Optometrist Past Accepting new patients
Eye Care Associates OD PA Optometrist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mmisko213257@direct.unc.nchie.net

Organizations & group practices 2

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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558742400000",
    "number": "1194988857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 CAPSTONE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137293",
            "telephone_number": "630-881-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 KIT CREEK RD BLDG 9",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608663",
            "telephone_number": "919-392-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANTON",
        "first_name": "MELISSA",
        "middle_name": "ANN MISKO",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2019-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01479600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5922181",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MISKO",
            "middle_name": "ANN",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morrisville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2019; 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.