Individual provider Active NPI

Melissa Schwebach Wood, OD

  • Optometrist
  • Rock Hill, SC
National Provider Identifier
1417948175
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1387 Issued in SC
Practice address
2460 India Hook Rd
Suite 206
Rock Hill, SC 29732-3530
Phone
(803) 985-2020
Fax
(803) 985-2021
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1387 SC Primary

Addresses

Primary practice location

2460 India Hook Rd
Suite 206
Rock Hill, SC 29732-3530

Mailing address

2460 India Hook Rd
Suite 206
Rock Hill, SC 29732-3530
Phone (803) 985-2020

Other identifiers 1

IdentifierTypeStateIssuer
D13876MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20060228000570 SC Practitioner - Optometry 0244246213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Eyecare Associates P aGroup PAC ID 4789866963, 3 clinicians

Practice addresses (Care Compare)

2460 India Hook Rd
Suite 206
Rock Hill, SC 29732-3578
Phone (803) 985-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1387SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Eyes & Optical Optometrist Current Accepting new patients
Palmetto Eyecare Associates P a Optometrist CurrentSince Jun 1, 2014 Accepting new patients
Fort Mill Optical Inc Optometrist PastSince Jun 13, 2014 Accepting new patients

Locations

2460 India Hook Rd
Ste 206
Rock Hill, SC 29732
Phone (803) 985-2020

Interoperability endpoints

  • Direct secure messaging: melissa.wood@uprisedirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406851200000",
    "number": "1417948175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 INDIA HOOK RD",
            "address_2": "SUITE 206",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323530",
            "telephone_number": "803-985-2020",
            "fax_number": "803-985-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 INDIA HOOK RD",
            "address_2": "SUITE 206",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323530",
            "telephone_number": "803-985-2020",
            "fax_number": "803-985-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MELISSA",
        "middle_name": "SCHWEBACH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2014-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D13876",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.