Individual provider Active NPI

Melissa Janelle Melott, O.D.

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1417168816
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002890A Issued in IN
Practice address
9202 N Meridian St Ste 100
Indianapolis, IN 46260-1810
Phone
(317) 841-2020
Fax
(317) 570-7433
NPI assigned
May 25, 2007
Last updated
Jun 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002890A IN Primary

Addresses

Primary practice location

9202 N Meridian St Ste 100
Indianapolis, IN 46260-1810

Mailing address

9202 N Meridian St Ste 100
Indianapolis, IN 46260-1810
Phone (317) 841-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20210324001011 IN Practitioner - Optometry 1759686090 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002890AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Surgeons of Indiana, PC Optometrist CurrentSince Jul 1, 2021 Accepting new patients
Vaught Family Eyecare, LLC Optometrist CurrentSince May 1, 2021 Accepting new patients
Major Hospital Past Accepting new patients
TLC the Laser Center (Indiana) LLC Past Accepting new patients

Locations

1150 N Main St
Apt A
Franklin, IN 46131
Phone (317) 736-0055

740 W Green Meadows Dr
Ste 310
Greenfield, IN 46140
Phone (317) 462-2020

9202 N Meridian St
Ste 100
Indianapolis, IN 46260
Phone (317) 841-2020

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1417168816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9202 N MERIDIAN ST STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601810",
            "telephone_number": "317-841-2020",
            "fax_number": "317-570-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9202 N MERIDIAN ST STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601810",
            "telephone_number": "317-841-2020",
            "fax_number": "317-570-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELOTT",
        "first_name": "MELISSA",
        "middle_name": "JANELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002890A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.