Individual provider Active NPI

Melissa Mohammad, O.D.

  • Optometrist
  • Boston, MA
National Provider Identifier
1508299371
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002860 Issued in PA
Practice address
150 S Huntington Ave
Boston, MA 02130-4817
Phone
(617) 232-9500
NPI assigned
Aug 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002860 PA Primary

Addresses

Primary practice location

150 S Huntington Ave
Boston, MA 02130-4817

Mailing address

85 Strathmore Rd Apt 24
Brighton, MA 02135-7112
Phone (205) 790-4404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20150320001915 MA Practitioner - Optometry 7315264801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Alabama School of Dentistry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallman Eye Associates PCGroup PAC ID 3577501063, 15 clinicians

Practice addresses (Care Compare)

360 Merrimack St
Suite 9
Lawrence, MA 01843-1764
Phone (978) 688-6182

Merit-based Incentive Payment System (MIPS)

Final score
89.86 of 100Reported as group
Quality
86.06
Promoting interoperability
100
Improvement activities
40
Cost
76.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002860PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tallman Eye Associates, PC Optometrist CurrentSince Jan 20, 2015 Accepting new patients
Tallman Eye Whittier Past Accepting new patients
Tallman Eye Bidco Past Accepting new patients

Locations

349 N Main St
Andover, MA 01810
Phone (978) 475-0959

62 Brown St
Haverhill, MA 01830
Phone (978) 521-6555

62 Brown St
Ste 205
Haverhill, MA 01830
Phone (978) 499-3810

360 Merrimack St
Ste 9
Lawrence, MA 01843
Phone (978) 552-4000

451 Andover St
Ste 110
North Andover, MA 01845
Phone (978) 794-2000

451 Andover St
North Andover, MA 01845
Phone (978) 687-1313

451 Andover St
Ste G7
North Andover, MA 01845

29 Stiles Rd
Ste 101
Salem, NH 03079
Phone (603) 893-7400

Interoperability endpoints

  • Direct secure messaging: mmohammad@tea.ecldirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1508299371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 STRATHMORE RD APT 24",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021357112",
            "telephone_number": "205-790-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S HUNTINGTON AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021304817",
            "telephone_number": "617-232-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMAD",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.