Individual provider Active NPI

Melanie Harrison, OD

  • Optometrist
  • Alton, IL
National Provider Identifier
1407542582
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3829 Issued in TN
Practice address
111 E 4TH St Ste 440
Alton, IL 62002-6206
Phone
(618) 462-9818
NPI assigned
Apr 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3829 TN Primary

Addresses

Primary practice location

111 E 4TH St Ste 440
Alton, IL 62002-6206

Mailing address

35 Whitehead LN
Paris, TN 38242-7724
Phone (731) 441-4324

Other names 1

  • Melanie Mae Harrison Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20230824001016 TN Practitioner - Optometry 7810350865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hermitage Eye Care, PLLCGroup PAC ID 0446576359, 48 clinicians

Practice addresses (Care Compare)

215 Holly LN
Waverly, TN 37185-3387
Phone (931) 296-1990

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3829TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hermitage Eye Care PLLC Optometrist CurrentSince Jul 5, 2023 Accepting new patients
Camden Eye Care Associates Optometrist Past Accepting new patients
Clarksville Eye Clinic LLC Optometrist PastSince Jul 1, 2004 Accepting new patients
John J Maria OD PC Optometrist PastSince Jul 5, 2017 Accepting new patients
Hermitage Eye Care PLLC Optometrist PastSince Feb 23, 2025 Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

782 Old Hickory Blvd
Ste 204
Brentwood, TN 37027
Phone (615) 373-9992

264 Highway 641 N
Camden, TN 38320
Phone (731) 584-7942

1111 Fort Campbell Blvd
#A
Clarksville, TN 37042
Phone (931) 645-0346

1306 Donelson Pkwy
Dover, TN 37058
Phone (631) 232-5118

215 Holly Ln
Waverly, TN 37185
Phone (931) 296-1990

Organizations & group practices 5

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": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1407542582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 WHITEHEAD LN",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382427724",
            "telephone_number": "731-441-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 4TH ST STE 440",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026206",
            "telephone_number": "618-462-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "MELANIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE MAE",
            "last_name": "HARRISON",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Alton, IL

Sources for this page

Verify at the official NPI Registry.