Active NPI
Melanie Oltmanns OD PC
- Optometrist
- Dickinson, ND
National Provider Identifier
1508865700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 560
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nathaniel Dean Shilman, OD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60607 | Medicaid | ND |
Other names 1
- Eyewear Concepts
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Dickinson, ND
- NPI 1275532467
-
- Optometrist
- Dickinson, ND
- NPI 1053310243
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.