Max Edward Melberg, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3470-35 Issued in WI

Practice address

185 W Netherwood St
Oregon, WI 53575-1100

Phone

(608) 835-3579

NPI assigned

Jun 27, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Optometry

Education

Southern College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bright Side Eye Care, S.C.Group PAC ID 6002824216, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.31 of 100Reported as individual

Quality

80.63

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: max.melberg@direct.revolutionehr.com

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.

• Bright Side Eye Care, S.C.

  dba Drs. James & Enayrt

  • Optometrist
  • Monona, WI
  • NPI 1609937333
  Medicare reassignment Care Compare group NPD Authorized official
• Bright Side Eye Care, S.C.

  dba Drs. James & Enyart

  • Optometrist
  • Oregon, WI
  • NPI 1013007475
  NPD Authorized official

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1487175766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 S PERRY PKWY",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535753450",
            "telephone_number": "715-214-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 W NETHERWOOD ST",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535751100",
            "telephone_number": "608-835-3579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 River Pl",
            "address_purpose": "LOCATION",
            "city": "Monona",
            "state": "WI",
            "postal_code": "537164006",
            "country_code": "US",
            "telephone_number": "608-223-0202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELBERG",
        "first_name": "MAX",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-27",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3470-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark A McCann, DC
• Brian P McComb, PA-C
• Kathryn Deborah McComb, PA-C
• Cheryl Sue McGraw, FNP-C, APNP
• Wendy Renee McNall, PT
• Laura L Mendyk, MD
• Timothy Edward Miller, PT
• Bryn Milne
• Melissa Kay Monte, OTR, CLT
• Taylor Rae Morgan, LPC-IT

• Optometrist in Oregon, WI
• Providers in Oregon, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.