Individual provider Active NPI

Melissa Ann Abrahamson, O.D.

  • Optometrist
  • Bismarck, ND
National Provider Identifier
1366794604
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
740 Issued in ND
Practice address
1830 E Century Ave Unit 1
Bismarck, ND 58503-0639
Phone
(701) 222-1140
NPI assigned
Oct 10, 2012
Last updated
Sep 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Optometrist 152W00000X 740 ND Primary

Addresses

Primary practice location

1830 E Century Ave Unit 1
Bismarck, ND 58503-0639

Mailing address

1830E Century Ave 1
Bismarck, ND 58503-0639
Phone (701) 222-1140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20151203003088 ND Practitioner - Optometry 0749580330 Practice locations: Minot, ND; Jamestown, ND; Bismarck, ND

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bismarck Eyecare, P.C. Optometrist PastSince Jun 1, 2009 Accepting new patients
Evolve Mental Health, PLC PastSince Jan 19, 2025 Accepting new patients

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, 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": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1366794604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830E CENTURY AVE 1",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030639",
            "telephone_number": "701-222-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 E CENTURY AVE UNIT 1",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030639",
            "telephone_number": "701-222-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAMSON",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.