Melissa Reveles, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

11364TG Issued in TX

Practice address

239 W Jefferson Blvd
Dallas, TX 75208-4510

Phone

(214) 771-7333

NPI assigned

Sep 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI, TX2 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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optometric Associates of Texas P.a.Group PAC ID 8527041326, 14 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optometric Associates of Texas P.a.

  • Optometrist
  • Arlington, TX
  • NPI 1043222888
  Medicare reassignment Care Compare group
• Vision Clinic Dr. Savin & Associates

  • Optometrist
  • Racine, WI
  • NPI 1518949056
  Medicare reassignment NPD
• Vision Expo Group PLLC

  • Optometrist
  • Arlington, TX
  • NPI 1730305012
  NPD
• Vision Therapy Center of Wisconsin, LLC

  • Vision Therapy Optometrist
  • Racine, WI
  • NPI 1053842419
  NPD (past)

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769817600000",
    "number": "1285355404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 PRENTICE ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760182043",
            "telephone_number": "817-501-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 W JEFFERSON BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084510",
            "telephone_number": "214-771-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVELES",
        "first_name": "MELISSA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2026-01-31",
        "certification_date": "2026-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11364TG",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3808-35",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reva Diagnostics LLC
• Annette O Revak, M.D.
• Revelation Counseling and Consulting, Inc
• Jeanne Buenaflor Reveldez, FNP
• Guadalupe Reveles
• Sonia Reveles, CRNA
• Johannah Ruth Revelle, CNIM, R. EPT.
• Camille Haworth Rever
• Robert Rever, PT, DPT
• Marta Revilla-Leon, DDS, MSD

• Optometrist in Dallas, TX
• Providers in Dallas, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2026; 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.

Verify at the official NPI Registry.