Melanie Anne Deitch, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2018017109 Issued in MO

Practice address

524 Brown Ave
Osawatomie, KS 66064-1322

Phone

(913) 256-2176

Fax

(913) 755-2787

NPI assigned

Mar 8, 2018

Last updated

Jul 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

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 2

Specialty

Optometry

Education

University of Houston - College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyecare Associates of Osawatomie, P.a.Group PAC ID 9335279827, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eyecare Associates of Osawatomie, P.a.

  • Optometrist
  • Osawatomie, KS
  • NPI 1073837464
  Medicare reassignment Care Compare group NPD
• Jackson County Eye Clinic Inc.

  dba Eyecare Associates of Lee's Summit

  • Optometrist
  • Lee's Summit, MO
  • NPI 1144267287
  Medicare reassignment NPD
• Eyecare Associates of Osawatomie

  • Optometrist
  • Osawatomie, KS
  • NPI 1477591568
  NPD

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1609378330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 456",
            "city": "OSAWATOMIE",
            "state": "KS",
            "postal_code": "660640456",
            "telephone_number": "913-256-2176",
            "fax_number": "913-755-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 BROWN AVE",
            "city": "OSAWATOMIE",
            "state": "KS",
            "postal_code": "660641322",
            "telephone_number": "913-256-2176",
            "fax_number": "913-755-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEITCH",
        "first_name": "MELANIE",
        "middle_name": "ANNE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2076",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2018017109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cadi Sue Cornett, RN
• CPF Senior Living - Osawatomiellc (Vintage Park at Osawatomie)
• Shea Curley
• Charles Isaac Davis Jr., MD
• Deanna Barden DDS LLC (Barden Family Dentistry)
• Nina G Diediker, OTR
• Cierra Dillard, APRN
• Anchana Marie Dominic, MD
• Jeffrey D Dorsett, MD
• Machado N. Edmond, M.D.

• Optometrist in Osawatomie, KS
• Providers in Osawatomie, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.