Individual provider Active NPI

Melina Perez, OD

  • Optometrist
  • Buffalo, NY
National Provider Identifier
1225516503
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9471T Issued in TX
Practice address
1569 Niagara St
Buffalo, NY 14213-1101
Phone
(716) 427-7000
NPI assigned
Jul 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9471T TX Primary

Addresses

Primary practice location

1569 Niagara St
Buffalo, NY 14213-1101

Mailing address

155 Lawn Ave
Buffalo, NY 14207-1816
Phone (713) 471-7859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220207002137 NY Practitioner - Optometry 1658621867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood Health Center of Wny, Inc.Group PAC ID 5193794972, 52 clinicians

Practice addresses (Care Compare)

155 Lawn Ave
Buffalo, NY 14207-1816
Phone (716) 875-2904

Merit-based Incentive Payment System (MIPS)

Final score
92.89 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9471TXMDProfessional Counselor
9471TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Center of Wny, Inc. CurrentSince Jan 8, 2024 Accepting new patients
Neighborhood Health Center of Wny, Inc. CurrentSince Jan 8, 2024 Accepting new patients

Locations

1569 Niagara St
Buffalo, NY 14213
Phone (716) 427-7000

155 Lawn Ave
Buffalo, NY 14207
Phone (716) 875-2904

4233 Lake Ave
Buffalo, NY 14219
Phone (716) 332-3070

300 Niagara St
Buffalo, NY 14201
Phone (716) 242-8600

151 Elmview Ave
Hamburg, NY 14075
Phone (716) 648-3040

Interoperability endpoints

  • Direct secure messaging: melina.perez.1@26491.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1225516503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 LAWN AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142071816",
            "telephone_number": "713-471-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131101",
            "telephone_number": "716-427-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MELINA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9471T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.