Active NPI
Melissa Marie Cremer, O.D.
- Optometrist
- Independence, MO
National Provider Identifier
1306246624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2014025387
- Practice address
- 4000 Little Blue Pkwy
Independence, MO 64057-8309 - Phone
- (816) 795-1122
- Fax
- (913) 677-2477
- NPI assigned
- Aug 25, 2014
- 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 | 2014025387 | MO | Primary |
Addresses
Primary practice location
4000 Little Blue Pkwy
Independence, MO 64057-8309
Mailing address
8857 W 75TH St
Overland Park, KS 66204-2206
Phone (913) 362-8822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| O.H. Gerry Optical Company | Past | Accepting new patients | |
| Professional Eyecare South LLC | Past | Accepting new patients | |
| Professional Eyecare Oak Park Inc. | Optometrist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Eyewear Supplier
- Overland Park, KS
- NPI 1306869714
-
- Optometrist
- Overland Park, KS
- NPI 1952452229
-
- Ophthalmology Physician
- Overland Park, KS
- NPI 1679198402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408924800000",
"number": "1306246624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8857 W 75TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662042206",
"telephone_number": "913-362-8822",
"fax_number": "913-677-2477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 LITTLE BLUE PKWY",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640578309",
"telephone_number": "816-795-1122",
"fax_number": "913-677-2477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREMER",
"first_name": "MELISSA",
"middle_name": "MARIE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-25",
"last_updated": "2014-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2014025387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.