Active NPI
Melissa Ann Diamond, O.D.
- Optometrist
- Morgantown, WV
National Provider Identifier
1568897890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2005-IOD
- Practice address
- 9520 Mall Rd
Morgantown, WV 26501-8524 - Phone
- (304) 983-6557
- NPI assigned
- Sep 5, 2013
- Last updated
- Feb 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2005-IOD | WV | Primary |
| Optometrist | 152W00000X | OEG002787 | PA |
Addresses
Primary practice location
9520 Mall Rd
Morgantown, WV 26501-8524
Mailing address
146 Maple HL
Waynesburg, PA 15370-8219
Phone (724) 986-4258
Other names 1
- Dr. Melissa Ann Vanzin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2690 White Hall Blvd
Fairmont, WV 26554-8226
Phone (304) 363-4533
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG002787 | PA | MD | Optometrist |
| 2005-IOD | WV | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melissa a. Diamond, OD, PLLC | Optometrist | Current | Accepting new patients |
Locations
2690 White Hall Blvd
White Hall, WV 26554
Phone (304) 363-4533
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518220800000",
"number": "1568897890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 MAPLE HL",
"city": "WAYNESBURG",
"state": "PA",
"postal_code": "153708219",
"telephone_number": "724-986-4258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9520 MALL RD",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265018524",
"telephone_number": "304-983-6557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAMOND",
"first_name": "MELISSA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-05",
"last_updated": "2018-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WV",
"license": "2005-IOD",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG002787",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "VANZIN",
"middle_name": "ANN",
"prefix": "DR.",
"credential": "O.D",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2018; 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.