Adrienne Melgary, O.D.
Individual provider Active NPI Optometrist · Wellsburg, WV
NPI 1497745384 · NPPES record last updated Dec 5, 2013
Key facts
- NPI
- 1497745384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 768-OD (WV)
- Practice address
- 99 7TH St
Wellsburg, WV 26070-1656 - Phone
- (304) 737-3440
- Fax
- (304) 737-4042
- NPI assigned
- Oct 24, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100520000567 | WV | Practitioner - Optometry | 5092844654 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 768 | WV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M F Anwar MD Inc | Optometrist | Past | Accepting new patients |
| Kimberly S Castellucci OD PLLC | Optometrist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 768-OD | WV | Yes |
| Optometrist | 152W00000X | MM0091544 | WV |
Addresses
Primary practice location
99 7TH St
Wellsburg, WV 26070-1656
Mailing address
99 7TH St
Wellsburg, WV 26070-1656
Phone (304) 737-3440
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0150841000 | Medicaid | WV |
Other providers in Wellsburg, WV
- Edward Robert Marks III
- Jaycee Elaine Martindill
- Olivia Ann Mason
- Kayla McAbee
- Laura J McGowan
- Nicole Meto
- Abigail Brooke Miller
- Angelina Montesano
- Mountain River Physical Therapy LLC
- Hannah Nicole Mozingo
All providers in Wellsburg, WV · Optometrist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.