Individual provider Active NPI

Melissa Ixcamey, M.D.

  • Ophthalmology Physician
  • Greenville, SC
National Provider Identifier
1245761055
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
T0814 Issued in TX
Practice address
113 Doctors Dr
Greenville, SC 29605-5608
Phone
(864) 269-3333
Fax
(864) 626-0757
NPI assigned
Mar 23, 2017
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X T0814 TX Primary

Addresses

Primary practice location

113 Doctors Dr
Greenville, SC 29605-5608

Mailing address

113 Doctors Dr
Greenville, SC 29605-5608
Phone (864) 269-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230601003180 SC Practitioner - Ophthalmology 5698044246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rush Medical College of Rush University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

113 Doctors Dr
Greenville, SC 29605-5608
Phone 86426933332271

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
T0814TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Eye Associates of South Carolina, PA Ophthalmology CurrentSince Aug 1, 2023 Accepting new patients
Southern Eye Associates of SC, PA Ophthalmology CurrentSince Aug 1, 2023 Accepting new patients

Locations

161 Thomas Green Blvd
Clemson, SC 29631
Phone (864) 269-3333

113 Doctors Dr
Greenville, SC 29605
Phone (864) 269-3333

100 Physicians Dr
Greer, SC 29650
Phone (864) 269-3333

100 Allawood Ct
Simpsonville, SC 29681
Phone (864) 269-3333

100 Allawood Ct
Ste 102
Simpsonville, SC 29681

Interoperability endpoints

  • Direct secure messaging: melissa.ixcamey@eyecenters.emadirect.md
  • Direct secure messaging: mixcamey@southerneye.emadirect.md

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1245761055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 DOCTORS DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296055608",
            "telephone_number": "864-269-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 DOCTORS DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296055608",
            "telephone_number": "864-269-3333",
            "fax_number": "864-626-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IXCAMEY",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "T0814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.