Organization Active NPI

Melanie Oltmanns OD PC

  • Optometrist
  • Dickinson, ND
National Provider Identifier
1508865700
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
560 Issued in ND
Legal business name
MELANIE OLTMANNS OD PC
Practice address
2273 3Rd Ave W
Dickinson, ND 58601-2605
Phone
(701) 225-7886
Fax
(701) 225-8148
NPI assigned
Jul 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Authorized official

Name
Dr. Nathaniel Dean Shilman, ODNPI 1275532467
Title
Owner
Phone
(701) 225-7886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 560 ND Primary

Addresses

Primary practice location

2273 3Rd Ave W
Dickinson, ND 58601-2605

Mailing address

2273 3Rd Ave W
Dickinson, ND 58601-2605
Phone (701) 225-7886

Other identifiers 1

IdentifierTypeStateIssuer
60607MedicaidND

Other names 1

  • Eyewear Concepts Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050126000377 ND Part B Supplier - Clinic/Group Practice 7214987452 Receives reassigned benefits from 2 practitioners
Practice locations: Dickinson, ND

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1508865700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2273 3RD AVE W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586012605",
            "telephone_number": "701-225-7886",
            "fax_number": "701-225-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2273 3RD AVE W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586012605",
            "telephone_number": "701-225-7886",
            "fax_number": "701-225-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIE OLTMANNS OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "SHILMAN",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-225-7886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ND",
            "license": "560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60607",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyewear Concepts",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eyewear Concepts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dickinson, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.