Melissa Ann Sy Rivera, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG003752 Issued in PA

Practice address

541 Wilmington W Chester Pike
Glen Mills, PA 19342-8190

Phone

(302) 479-0011

Fax

(302) 479-7844

NPI assigned

Oct 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• America'S Best Contacts & Eyeglasses

  • Eyewear Supplier
  • Springfield, PA
  • NPI 1427089093
  NPD (past)
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1528665049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 WILMINGTON W CHESTER PIKE",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193428190",
            "telephone_number": "302-479-0011",
            "fax_number": "302-479-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 WILMINGTON W CHESTER PIKE",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193428190",
            "telephone_number": "302-479-0011",
            "fax_number": "302-479-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "MELISSA",
        "middle_name": "ANN SY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-930",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009282",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rencic Dermatology, LLC
• Jane Resnik
• Rheumatology Care Specialists
• Kristen Marie Rhodes, MA
• Anthony Ricco, M.D.
• Marisa Riverso, MD
• Bruce A Roberts, PHARMD
• Bryanne Robson, M.D.
• Andrea Roche, MA, LPC
• Jennie Brill Rodgers, PSY.D., MBA

• Optometrist in Glen Mills, PA
• Providers in Glen Mills, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.