Individual provider Active NPI

Courtney Melchione, OD

  • Optometrist
  • Winchester, VA
National Provider Identifier
1598115271
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002491 Issued in VA
Practice address
3051 Valley Ave
#102
Winchester, VA 22601-2658
Phone
(540) 450-8504
NPI assigned
Jun 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002491 VA Primary

Addresses

Primary practice location

3051 Valley Ave
#102
Winchester, VA 22601-2658

Mailing address

435 E View LN
Raphine, VA 24472-2716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20200812002011 VA Practitioner - Optometry 3577891233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dovie Eye Care IncGroup PAC ID 6507922903, 5 clinicians

Practice addresses (Care Compare)

1440 S Main St
Suite 100
Blacksburg, VA 24060-5569
Phone (540) 953-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002491VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dovie Eye Care, Inc. Optometrist CurrentSince Sep 1, 2020 Accepting new patients
Northwest Vision Consultants PastSince Jul 1, 2019 Accepting new patients

Locations

1440 S Main St
Ste 100
Blacksburg, VA 24060
Phone (540) 381-7334

Organizations & group practices 2

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": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1598115271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 E VIEW LN",
            "city": "RAPHINE",
            "state": "VA",
            "postal_code": "244722716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 VALLEY AVE",
            "address_2": "#102",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012658",
            "telephone_number": "540-450-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELCHIONE",
        "first_name": "COURTNEY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.