Individual provider Active NPI

Melanie Dacanay, OD

  • Optometrist
  • Benicia, CA
National Provider Identifier
1437760089
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34654 Issued in CA
Practice address
874 Southampton Rd
Benicia, CA 94510-1907
Phone
(707) 745-6266
NPI assigned
Aug 16, 2020
Last updated
Sep 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34654 CA Primary

Addresses

Primary practice location

874 Southampton Rd
Benicia, CA 94510-1907

Mailing address

424 Beacon St
Boston, MA 02115-1129
Phone (707) 451-4437

Other practice location 1

424 Beacon St
Boston, MA 02115-1129
Phone (707) 451-4437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20201216002913 CA Practitioner - Optometry 7214349539 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34654CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
National Vision Inc Optometrist PastSince May 11, 2025 Accepting new patients
Richard Joyce Optometrist Optometrist PastSince Nov 24, 2020 Accepting new patients

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, 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": "1597536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1437760089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 BEACON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021151129",
            "telephone_number": "707-451-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 SOUTHAMPTON RD",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945101907",
            "telephone_number": "707-745-6266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "424 Beacon St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021151129",
            "country_code": "US",
            "telephone_number": "707-451-4437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DACANAY",
        "first_name": "MELANIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-16",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benicia, CA

Sources for this page

Verify at the official NPI Registry.