Melissa Broaddus, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3117 Issued in TN

Practice address

2070 Whitney Ave
Memphis, TN 38127-9014

Phone

(901) 357-0371

NPI assigned

Aug 26, 2013

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

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Optometry

Education

Southern College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

William H. Holmes, Inc.Group PAC ID 3870655657, 2 clinicians

Pierce Vision Specialists, LLCGroup PAC ID 5193970648, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pierce Vision Specialists, LLC

  • Optometrist
  • Springfield, MO
  • NPI 1063758878
  Medicare reassignment Care Compare group NPD
• William H. Holmes, Inc.

  • Optometrist
  • Springfield, MO
  • NPI 1386773794
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1376977439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 WHITNEY AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381279014",
            "telephone_number": "901-357-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 WHITNEY AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381279014",
            "telephone_number": "901-357-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADDUS",
        "first_name": "MELISSA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittanys Esther House
• Judith Berner Brittingham, NP
• Aretha Britton
• Philanda Denise Britton
• Selina Louise Broadaway, CPNP-AC
• Angela Broadway, PHARMD
• Jeanetta Marie Broadway
• Broc Medical Supply Co.
• Broca Inpatient Services
• Caitlin Moran Brockenshire, MD

• Optometrist in Memphis, TN
• Providers in Memphis, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.