Individual provider Active NPI

Melissa Ann Diamond, O.D.

  • Optometrist
  • Morgantown, WV
National Provider Identifier
1568897890
Registry record updated Feb 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2005-IOD Issued in WV
Practice address
9520 Mall Rd
Morgantown, WV 26501-8524
Phone
(304) 983-6557
NPI assigned
Sep 5, 2013
Last updated
Feb 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131212001749 WV Practitioner - Optometry 5092949701 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
OEG002787PAMDOptometrist
2005-IODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa a. Diamond, OD, PLLC Optometrist CurrentSince Jan 1, 2020 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

Verify at the official NPI Registry.