Individual provider Active NPI

Melissa E Heisler, OD

  • Corneal and Contact Management Optometrist
  • Winston Salem, NC
National Provider Identifier
1366922197
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
2524 Issued in NC
Practice address
3316 Silas Creek Pkwy
Winston Salem, NC 27103-3011
Phone
(336) 765-5350
Fax
(336) 765-0769
NPI assigned
Aug 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 2524 NC Primary

Addresses

Primary practice location

3316 Silas Creek Pkwy
Winston Salem, NC 27103-3011

Mailing address

3316 Silas Creek Pkwy
Winston Salem, NC 27103-3011
Phone (336) 765-5350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20181005000737 NC Practitioner - Optometry 4880946680 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Winston Salem Optometric Group PAGroup PAC ID 3577524214, 3 clinicians
Camel City Optometric, P.a.Group PAC ID 2860732237, 2 clinicians

Practice addresses (Care Compare)

226 S Elm St
Suite a
Greensboro, NC 27401-2694
Phone (336) 333-2993

302 S Stratford Rd
Suite B
Winston Salem, NC 27103-1856
Phone (336) 722-5346

604 B N Trade St
Winston Salem, NC 27101-2917
Phone (336) 727-3727

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greensboro Optometric, PA CurrentSince Jun 11, 2020 Accepting new patients
Camel City Optometric, P.a. CurrentSince Nov 1, 2023 Accepting new patients
Winston Salem Optometric Group PA CurrentSince Dec 19, 2023 Accepting new patients
Jillian Iris Okeefe OD PA CurrentSince Jun 11, 2020 Accepting new patients

Locations

226 S Elm St
Ste A
Greensboro, NC 27401
Phone (336) 333-2993

604 N Trade St
#B
Winston Salem, NC 27101
Phone (336) 727-3727

302 S Stratford Rd
Ste B
Winston Salem, NC 27103
Phone (336) 722-5346

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1366922197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 SILAS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033011",
            "telephone_number": "336-765-5350",
            "fax_number": "336-765-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 SILAS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033011",
            "telephone_number": "336-765-5350",
            "fax_number": "336-765-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISLER",
        "first_name": "MELISSA",
        "middle_name": "E",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NC",
            "license": "2524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.