Melissa Contreras, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13951 Issued in CA

Practice address

3916 S Broadway
Los Angeles, CA 90037-1307

Phone

(323) 234-9137

Fax

(323) 235-6203

NPI assigned

Jul 2, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa Vydelingum Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1376855502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 S BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900371307",
            "telephone_number": "323-234-9137",
            "fax_number": "323-235-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 S BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900371307",
            "telephone_number": "323-234-9137",
            "fax_number": "323-235-6203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2575 Yorba Linda Blvd",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928311615",
            "country_code": "US",
            "telephone_number": "714-992-7818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "MELISSA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-02",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "VYDELINGUM",
            "credential": "O.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Johnathan Joshua Contreras
• Joseph Matthew Contreras
• Karen Contreras
• Karen Contreras, CASE MANAGER
• Martha Contreras
• Meliton Frederick Contreras, RN
• Michael Aufhammer Contreras
• Moises Contreras
• Robert Contreras
• Rosa Clara Contreras, ASW

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.