Melzer & Breckenridge PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

402569 Issued in OR

Legal business name

MELZER & BRECKENRIDGE PC

Practice address

13140 NE Halsey St
Portland, OR 97230-2350

Phone

(503) 253-7278

Fax

(503) 253-0279

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Douglas C. Melzer, O.D.NPI 1184693095

Title

Owner

Phone

(503) 253-7278

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Douglas Carl Melzer, O.D.

  • Optometrist
  • Portland, OR
  • NPI 1184693095
  Medicare reassignment Authorized official
• Bruce Franklin Breckenridge, OD

  • Optometrist
  • Portland, OR
  • NPI 1346201886
  Medicare reassignment NPD

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1578635785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13140 NE HALSEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972302350",
            "telephone_number": "503-253-7278",
            "fax_number": "503-253-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13140 NE HALSEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972302350",
            "telephone_number": "503-253-7278",
            "fax_number": "503-253-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELZER & BRECKENRIDGE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "MELZER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-253-7278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "402569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020201",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Melville, MD
• Thomas Melville
• Cynthia Davidson Melvin, R.PH.
• Danielle Marie Melvin, ND
• Marcus W Melvin, M.D.
• Cheryl Dawn Melzer, PT
• Douglas Carl Melzer, O.D.
• Keelan Denise Memory
• Tina Memsic
• Gerardo Mena, BA, CDC II

• Optometrist in Portland, OR
• Providers in Portland, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.