Individual provider Active NPI

Melody Fitch, O.D.

  • Optometrist
  • San Diego, CA
National Provider Identifier
1255695219
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14424 Issued in CA
Practice address
11835 Carmel Mountain Rd Ste 1313
San Diego, CA 92128-4609
Phone
(949) 290-7540
NPI assigned
Jun 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14424 CA Primary

Addresses

Primary practice location

11835 Carmel Mountain Rd Ste 1313
San Diego, CA 92128-4609

Mailing address

3114 Telegraph Rd
Ste a
Ventura, CA 93003-3219
Phone (805) 648-6891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20130227000511 CA Practitioner - Optometry 9436304201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2012
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

3114 Telegraph Rd
Suite a
Ventura, CA 93003-3227
Phone (805) 648-6891

Merit-based Incentive Payment System (MIPS)

Final score
90.32 of 100Reported as group
Quality
97.35
Improvement activities
40
Cost
71.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lum Eye and Vision Center a Medical Corporation CurrentSince Sep 11, 2021 Accepting new patients
Bryant J. Lum MD Past Accepting new patients

Locations

5333 Hollister Ave
Santa Barbara, CA 93111
Phone (805) 879-4272

3088 Telegraph Rd
Ste A
Ventura, CA 93003
Phone (805) 648-6891

3114 Telegraph Rd
Ste A
Ventura, CA 93003
Phone (805) 648-6891

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": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1255695219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 TELEGRAPH RD",
            "address_2": "STE A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033219",
            "telephone_number": "805-648-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 CARMEL MOUNTAIN RD STE 1313",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284609",
            "telephone_number": "949-290-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITCH",
        "first_name": "MELODY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.