Active NPI
Melissa Deann Gardner, O.D.
- Optometrist
- Merriam, KS
National Provider Identifier
1376554147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1507
- Practice address
- 5744 Antioch Rd
Merriam, KS 66202-2015 - Phone
- (913) 362-9131
- NPI assigned
- Aug 10, 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 | 1507 | KS | Primary |
Addresses
Primary practice location
5744 Antioch Rd
Merriam, KS 66202-2015
Mailing address
1507 NW 79TH Ter
Kansas City, MO 64118-6490
Phone (816) 804-6336
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1507 | KS | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kessler Eyecare, P.a. | Optometrist | Past | Accepting new patients |
| Kessler Eyecare PA | Optometrist | Past | Accepting new patients |
| Catherine Saul, OD, LLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Optometrist
- Wichita, KS
- NPI 1174639975
-
- Optometrist
- Overland Park, KS
- NPI 1750392643
-
- Optometrist
- Sandy, OR
- NPI 1558540641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376554147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 NW 79TH TER",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641186490",
"telephone_number": "816-804-6336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5744 ANTIOCH RD",
"city": "MERRIAM",
"state": "KS",
"postal_code": "662022015",
"telephone_number": "913-362-9131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "MELISSA",
"middle_name": "DEANN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "1507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merriam, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.