Individual provider Active NPI

Melissa A Williams-Tauriac, O.D.

  • Optometrist
  • Irving, TX
National Provider Identifier
1609945849
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5672T Issued in TX
Practice address
5910 N Macarthur Blvd
Suite 148
Irving, TX 75039-3806
Phone
(972) 556-2929
Fax
(972) 556-2057
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5672T TX Primary
Corneal and Contact Management Optometrist 152WC0802X 5672T TX

Addresses

Primary practice location

5910 N Macarthur Blvd
Suite 148
Irving, TX 75039-3806

Mailing address

6823 Hillwood LN
Dallas, TX 75248-5032
Phone (972) 556-2929

Other identifiers 1

IdentifierTypeStateIssuer
5672TOtherTXSTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20101221000412 TX Practitioner - Optometry 9830387638 Practice locations: Irving, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5672TTXMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1609945849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6823 HILLWOOD LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752485032",
            "telephone_number": "972-556-2929",
            "fax_number": "972-556-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 N MACARTHUR BLVD",
            "address_2": "SUITE 148",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393806",
            "telephone_number": "972-556-2929",
            "fax_number": "972-556-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-TAURIAC",
        "first_name": "MELISSA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5672T",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "5672T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "5672T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.