Melinda Marie Wolter, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

002646 Issued in CT

Practice address

791 Hartford Pike
Dayville, CT 06241-1715

Phone

(860) 779-6123

Fax

(860) 779-8655

NPI assigned

Nov 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dr. Aucello & Associates, P.C.

  • Optometrist
  • South Windsor, CT
  • NPI 1639380041
  NPD (past)
• Dr. Aucello & Associates, P.C.

  • Optometrist
  • Newington, CT
  • NPI 1912035056
  NPD (past)
• University Optics, LLC

  • Optometrist
  • Dayville, CT
  • NPI 1104155282
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215005384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HOCKANUM BLVD",
            "address_2": "SUITE #933",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664056",
            "telephone_number": "860-871-2510",
            "fax_number": "860-871-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 HARTFORD PIKE",
            "city": "DAYVILLE",
            "state": "CT",
            "postal_code": "062411715",
            "telephone_number": "860-779-6123",
            "fax_number": "860-779-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLTER",
        "first_name": "MELINDA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE PROVIDER ID#",
            "identifier": "026460",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "900733",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO ID#",
            "identifier": "7164708",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3641716",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "2559577",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS ID# ENFIELD",
            "identifier": "090002646CT03",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS ID# DAYVILLE",
            "identifier": "090002646CT01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Karen White, D.M.D.
• Kathryn B Willard
• Alexis Leigh Williams, PT
• Ellen Louise Wilson, RN, CCM
• Allyson Looney Wojtaszek, PHARMD RPH
• Aaron Woodman, DPT
• Bonita Marie Woodward
• Koichi Yoshikawa, NCSP

• Optometrist in Dayville, CT
• Providers in Dayville, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.