Richard Thomas Melstrom, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002462 Issued in MI

Practice address

118 Stimson St
Cadillac, MI 49601-2238

Phone

(231) 775-6031

NPI assigned

Dec 15, 2005

Last updated

May 23, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

80.55 of 100Reported as group

Quality

95.38

Improvement activities

40

Cost

41.32

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rmelstrom@tce.intellechartdirect.net

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.

• Traverse City Eye Consultants P C

  • Ophthalmology Physician
  • Traverse City, MI
  • NPI 1316009368

  Optometrist

  NPD

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1679559322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 STIMSON ST",
            "address_2": "PO BOX 409",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012238",
            "telephone_number": "231-775-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 STIMSON ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012238",
            "telephone_number": "231-775-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELSTROM",
        "first_name": "RICHARD",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5028837",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael McLaurin
• Andrew Meacham
• Aprill Marie Meeks
• Benjamin Meeks
• Meijer Inc (Meijer Pharmacy #171)
• Jason Thomas Melvin, MA, LLPC
• Elijah William Mercerjones
• Mercy Hospital
• Mercy Hospital Cadillac
• Mercy Hospital Cadillac (Mercy Cadillac Physician Network)

• Optometrist in Cadillac, MI
• Providers in Cadillac, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.