Individual provider Active NPI

Melissa Clare Oltz, O.D.

  • Optometrist
  • Ithaca, NY
National Provider Identifier
1326248931
Registry record updated Aug 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007205-1 Issued in NY
Practice address
100 Uptown Rd
Ithaca, NY 14850-1632
Phone
(607) 257-5599
NPI assigned
Jul 21, 2007
Last updated
Aug 3, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001938 PA
Optometrist 152W00000X TUV007205-1 NY Primary

Addresses

Primary practice location

100 Uptown Rd
Ithaca, NY 14850-1632

Mailing address

100 Uptown Rd
Ithaca, NY 14850-1632
Phone (607) 257-5599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080513000719 NY Practitioner - Optometry 7618046996 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cortland Ophthalmological Care PLLCGroup PAC ID 3072510312, 4 clinicians

Practice addresses (Care Compare)

1160 Tompkins St
Cortland, NY 13045-3578
Phone (607) 753-7528

88 N St
Dryden, NY 13053-8500
Phone (607) 844-9477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007205-1NYMDOptometrist
OEG001938PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dryden Optometry P.C. Optometrist CurrentSince Jun 24, 2013 Accepting new patients
Silbert Optical, Inc. Optometrist CurrentSince Jan 27, 2024 Accepting new patients
Cortland Ophthalmological Care, PLLC Optometrist CurrentSince May 1, 2018 Accepting new patients
Empire Vision Center Inc Optometrist PastSince Feb 28, 2010 Accepting new patients
Cayuga Medical Associates, PC PastSince Jun 30, 2008 Accepting new patients
William C Rich Jr Optometrist PastSince Jun 24, 2013 Accepting new patients
Empire Vision Center, Inc Past Accepting new patients

Locations

97 Genesee St
Auburn, NY 13021
Phone (315) 253-7032

1160 Tompkins St
Cortland, NY 13045
Phone (607) 753-7528

88 North St
Dryden, NY 13053
Phone (607) 844-9477

Interoperability endpoints

  • Direct secure messaging: droltz@cortlandeye.medentdirect.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1184976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217721600000",
    "number": "1326248931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 UPTOWN RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501632",
            "telephone_number": "607-257-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 UPTOWN RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501632",
            "telephone_number": "607-257-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLTZ",
        "first_name": "MELISSA",
        "middle_name": "CLARE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-21",
        "last_updated": "2008-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001938",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007205-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.