Individual provider Active NPI

Melissa Keller Alvarez, O.D.

  • Optometrist
  • Savannah, GA
National Provider Identifier
1235588062
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002953 Issued in GA
Practice address
350 Martin Luther King Jr Blvd Unit a
Savannah, GA 31401-4387
Phone
(912) 483-6600
Fax
(912) 454-6040
NPI assigned
Jun 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002953 GA Primary

Addresses

Primary practice location

350 Martin Luther King Jr Blvd Unit a
Savannah, GA 31401-4387

Mailing address

350 Martin Luther King Jr Blvd Unit a
Savannah, GA 31401-4387
Phone (912) 483-6600

Other names 1

  • Melissa Catherine Keller Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20160919001500 GA Practitioner - Optometry 1557658531 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forsight Unique Eye Care and Eye Wear LLCGroup PAC ID 8628305810, 2 clinicians

Practice addresses (Care Compare)

350 Martin Luther King Jr Blvd
Unit a
Savannah, GA 31401-4387
Phone (912) 483-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Georgia, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Aug 13, 2016 Accepting new patients
Forsight Unique Eye Care & Eye Wear LLC Optometrist CurrentSince Oct 31, 2022 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Aug 13, 2016 Accepting new patients

Locations

4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010

105 Grand Central Blvd
Ste 110
Pooler, GA 31322
Phone (912) 450-9200

350 Mlk Blvd
Savannah, GA 31401
Phone (912) 349-9441

350 Martin Luther King Jr Blvd
Unit A
Savannah, GA 31401
Phone (912) 483-6000

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 4

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": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1235588062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MARTIN LUTHER KING JR BLVD UNIT A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314014387",
            "telephone_number": "912-483-6600",
            "fax_number": "912-454-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MARTIN LUTHER KING JR BLVD UNIT A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314014387",
            "telephone_number": "912-483-6600",
            "fax_number": "912-454-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER ALVAREZ",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "KELLER",
            "middle_name": "CATHERINE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.