Individual provider Active NPI

Melissa A Ernst Brenot

  • Optometrist
  • South Dennis, MA
National Provider Identifier
1245266998
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT5720 Issued in MA
Practice address
860 Route 134 Ste 8
South Dennis, MA 02660-2577
Phone
(508) 394-2211
Fax
(508) 398-4471
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0662 NH
Optometrist 152W00000X OPT5720 MA Primary

Addresses

Primary practice location

860 Route 134 Ste 8
South Dennis, MA 02660-2577

Mailing address

860 Route 134 Ste 8
South Dennis, MA 02660-2577
Phone (508) 394-2211

Other practice location 1

250 River Rd
Manchester, NH 03104-2423
Phone (603) 668-2020

Other practice location 2

119 Route 137
E Harwich, MA 02645-2177
Phone (508) 432-3444

Other names 1

  • Dr. Melissa A Ernst Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MA2 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

Enrollment IDStateProvider typePAC IDDetails
I20220420000615 TX Practitioner - Optometry 6103806450 Reassigns benefits to 1 organization
I20240803000329 MA Practitioner - Optometry 6103806450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Puzio Eyecare Associates, LLCGroup PAC ID 7517147010, 2 clinicians
Aeg Massachusetts Professional PCGroup PAC ID 6901282557, 44 clinicians

Practice addresses (Care Compare)

119 B Route 134
East Harwich, MA 02645-2153
Phone (508) 432-3444

119 Route 137
Suite B
East Harwich, MA 02645-2177
Phone (508) 432-3444

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT5720MAMDOptometrist
NH0662NHMDPhysical Therapist
0662NHMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Puzio Eyecare Associates, LLC Optometrist CurrentSince Aug 1, 2024 Accepting new patients
Carlos Manrique de Lara Mdpa Optometrist CurrentSince Feb 21, 2022 Accepting new patients
Aeg Massachusetts Professional PC Optometrist CurrentSince May 23, 2025 Accepting new patients
Dartmouth-Hitchcock Clinic Past Accepting new patients
William Justus Head MD PA Past Accepting new patients
Amoskeag Health Past Accepting new patients
Pinnacle Rehabilitation Network LLC Past Accepting new patients

Locations

15 Central St
Andover, MA 01810
Phone (978) 475-1230

119 Route 137
Harwich, MA 02645
Phone (508) 432-8686

119 Route 137
Ste B
Harwich, MA 02645
Phone (508) 432-3444

850 Chelmsford St
Lowell, MA 01851
Phone (978) 452-0127

860 Route 134
Ste 8
South Dennis, MA 02660
Phone (508) 394-2211

2518 W Trenton Rd
Edinburg, TX 78539
Phone (956) 661-9000

Organizations & group practices 7

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1245266998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 ROUTE 134 STE 8",
            "city": "SOUTH DENNIS",
            "state": "MA",
            "postal_code": "026602577",
            "telephone_number": "508-394-2211",
            "fax_number": "508-398-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 ROUTE 134 STE 8",
            "city": "SOUTH DENNIS",
            "state": "MA",
            "postal_code": "026602577",
            "telephone_number": "508-394-2211",
            "fax_number": "508-398-4471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 River Rd",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031042423",
            "country_code": "US",
            "telephone_number": "603-668-2020",
            "fax_number": "603-668-0881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Route 137",
            "address_purpose": "LOCATION",
            "city": "E Harwich",
            "state": "MA",
            "postal_code": "026452177",
            "country_code": "US",
            "telephone_number": "508-432-3444",
            "fax_number": "508-432-3401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERNST BRENOT",
        "first_name": "MELISSA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0662",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "OPT5720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "ERNST",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in South Dennis, MA

Sources for this page

Verify at the official NPI Registry.