Active NPI
William Edward Melzer, O.D.
- Optometrist
- Culver City, CA
National Provider Identifier
1487723953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- CA6511T
- Practice address
- 6133 Bristol Pkwy
Suite 100
Culver City, CA 90230-6609 - Phone
- (310) 641-8000
- Fax
- (310) 641-8089
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | CA6511T | CA | Primary |
Addresses
Primary practice location
6133 Bristol Pkwy
Suite 100
Culver City, CA 90230-6609
Mailing address
6133 Bristol Pkwy
Suite 100
Culver City, CA 90230-6609
Phone (310) 641-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GX462A | Other | MEDICARE PTAN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130206000247 | CA | Practitioner - Optometry | 9537313275 | Practice locations: Culver City, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6511 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366588800000",
"number": "1487723953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6133 BRISTOL PKWY",
"address_2": "SUITE 100",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306609",
"telephone_number": "310-641-8000",
"fax_number": "310-641-8089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6133 BRISTOL PKWY",
"address_2": "SUITE 100",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306609",
"telephone_number": "310-641-8000",
"fax_number": "310-641-8089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELZER",
"first_name": "WILLIAM",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2013-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "CA6511T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "GX462A",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.