Active NPI
Melissa Bussey, O.D.
- Optometrist
- Taylor, MI
National Provider Identifier
1245528363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004634
- Practice address
- 15055 S Plaza Dr
Taylor, MI 48180-5202 - Phone
- (734) 287-2666
- Fax
- (734) 287-3864
- NPI assigned
- Jul 11, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901004634 | MI | Primary |
Addresses
Primary practice location
15055 S Plaza Dr
Taylor, MI 48180-5202
Mailing address
4717 Saint Antoine St
Detroit, MI 48201-1423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15055 S Plaza Dr
Taylor, MI 48180-5202
Phone (734) 287-2666
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901004634 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southland Eye Clinic, P.C. | Current | Accepting new patients |
Locations
15055 S Plaza Dr
Taylor, MI 48180
Phone (734) 287-2666
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.
-
dba Marilyn K. Belamaric, M.D.
- Ophthalmology Physician
- Taylor, MI
- NPI 1740464775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1245528363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4717 SAINT ANTOINE ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482011423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15055 S PLAZA DR",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481805202",
"telephone_number": "734-287-2666",
"fax_number": "734-287-3864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSSEY",
"first_name": "MELISSA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-11",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901004634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.