Individual provider Active NPI

Melanie Lawrence, O.D.

  • Optometrist
  • Gardendale, AL
National Provider Identifier
1437553336
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-D30-TA-A06 Issued in AL
Practice address
137 W Shugart Ridge Rd
Gardendale, AL 35071-2671
Phone
(205) 631-5681
Fax
(205) 631-2479
NPI assigned
Oct 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-D30-TA-A06 AL Primary

Addresses

Primary practice location

137 W Shugart Ridge Rd
Gardendale, AL 35071-2671

Mailing address

137 W Shugart Ridge Rd
Gardendale, AL 35071-2671
Phone (205) 631-5681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20150605000858 AL Practitioner - Optometry 8022339860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Day Optometry Clinic PCGroup PAC ID 7416974761, 6 clinicians

Practice addresses (Care Compare)

137 W Shugart Ridge Rd
Gardendale, AL 35071-2671
Phone 2056315681414

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-D30-TA-A06ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Day Optometry Clinic PC Optometrist CurrentSince Dec 2, 2024 Accepting new patients
David Judge, MD, PC PastSince Nov 1, 2022 Accepting new patients

Locations

137 W Shugart Ridge Rd
Gardendale, AL 35071
Phone (205) 631-5681

Organizations & group practices 2

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": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1437553336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 W SHUGART RIDGE RD",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712671",
            "telephone_number": "205-631-5681",
            "fax_number": "205-631-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 W SHUGART RIDGE RD",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712671",
            "telephone_number": "205-631-5681",
            "fax_number": "205-631-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "MELANIE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-D30-TA-A06",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardendale, AL

Sources for this page

Verify at the official NPI Registry.