Active NPI
Linda M Melough, OD
- Optometrist
- Upper Darby, PA
National Provider Identifier
1346301140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- PAOE006604P
- Practice address
- 6921 Ludlow St
Upper Darby, PA 19082-2304 - Phone
- (610) 352-5335
- Fax
- (610) 352-7210
- NPI assigned
- Dec 13, 2006
- 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 | PAOE006604P | PA | Primary |
Addresses
Primary practice location
6921 Ludlow St
Upper Darby, PA 19082-2304
Mailing address
366 Wyndmoor Rd
Springfield, PA 19064
Phone (610) 352-5335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1120433 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PAOE006604P | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tresstar PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Eyewear Supplier
- Upper Darby, PA
- NPI 1427798651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479859200000",
"number": "1346301140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "366 WYNDMOOR RD",
"city": "SPRINGFIELD",
"state": "PA",
"postal_code": "19064",
"telephone_number": "610-352-5335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6921 LUDLOW ST",
"city": "UPPER DARBY",
"state": "PA",
"postal_code": "190822304",
"telephone_number": "610-352-5335",
"fax_number": "610-352-7210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELOUGH",
"first_name": "LINDA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2016-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "PAOE006604P",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1120433",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Upper Darby, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.