Individual provider Active NPI

Melissa Cuan, O.D.

  • Optometrist
  • Wilmington, NC
National Provider Identifier
1679913446
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2564 Issued in NC
Practice address
3901 Oleander Dr
Wilmington, NC 28403-6733
Phone
(910) 395-2772
Fax
(910) 799-9170
NPI assigned
Jun 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV 56007999 NY
Optometrist 152W00000X 2564 NC Primary

Addresses

Primary practice location

3901 Oleander Dr
Wilmington, NC 28403-6733

Mailing address

2850 Walker Dr
Yorktown Heights, NY 10598-2916

Other practice location 1

2094 Albany Post Rd
Montrose, NY 10548-1454
Phone (914) 737-4400

Other practice location 2

315 Western Blvd
Jacksonville, NC 28546-6338
Phone (910) 353-1011

Other practice location 3

4130 Western Blvd
Jacksonville, NC 28546-6740
Phone (910) 353-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200408000949 NC Practitioner - Optometry 6002172327 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecarecenter OD PAGroup PAC ID 7315834462, shared by 4 NPIs, 71 clinicians

Practice addresses (Care Compare)

315 A Western Blvd
Jacksonville, NC 28546-6338
Phone (910) 353-1011

3901 Oleander Dr
Wilmington, NC 28403-6712
Phone (910) 395-2772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV 56007999NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarecenter OD PA Optometrist CurrentSince Feb 11, 2020 Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince Feb 11, 2020 Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Feb 11, 2020 Accepting new patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
C.V. Sikes,Jr. & R.B. Gotschalk PTR Optometrist Past Accepting new patients

Locations

315 Western Blvd
#A
Jacksonville, NC 28546
Phone (910) 353-1011

4130 Western Blvd
Jacksonville, NC 28546
Phone (910) 353-9200

315 Western Blvd
Jacksonville, NC 28546
Phone (910) 353-1011

315A Western Blvd
Jacksonville, NC 28546
Phone (910) 353-1011

819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020

4107 Oleander Dr
Ste B
Wilmington, NC 28403
Phone (910) 395-2772

3901 Oleander Dr
Wilmington, NC 28403
Phone (910) 395-2772

4107 Oleander Dr
Wilmington, NC 28403
Phone (910) 395-2772

Interoperability endpoints

  • Direct secure messaging: melissacuan@direct.eyecare-partners.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1679913446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 WALKER DR",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105982916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036733",
            "telephone_number": "910-395-2772",
            "fax_number": "910-799-9170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2094 Albany Post Rd",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "NY",
            "postal_code": "105481454",
            "country_code": "US",
            "telephone_number": "914-737-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 Western Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285466338",
            "country_code": "US",
            "telephone_number": "910-353-1011",
            "fax_number": "910-353-4433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4130 Western Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285466740",
            "country_code": "US",
            "telephone_number": "910-353-9200",
            "fax_number": "910-353-5459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUAN",
        "first_name": "MELISSA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV 56007999",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.