Individual provider Active NPI

Melissa Andrade, OD

  • Optometrist
  • Scituate, MA
National Provider Identifier
1689216533
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5388 Issued in MA
Practice address
85 Front St
Scituate, MA 02066-1315
Phone
(781) 545-0792
NPI assigned
Oct 11, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jessica Crooker OD PLLC 4 clinicians

Practice addresses (Care Compare)

85 Front St
Unit 81
Scituate, MA 02066-1315
Phone (617) 299-1125

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20191216001289 MA Practitioner - Optometry 9537593033 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5388MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Crooker, O.D., PLLC Optometrist CurrentSince Oct 22, 2019 Accepting new patients
Gordon a Price OD PC Optometrist CurrentSince Oct 22, 2019 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

85 Front St
Unit 81
Scituate, MA 02066
Phone (617) 299-1125

85 Front St
Scituate, MA 02066
Phone (781) 545-0792

85 Front St
Ste 81
Scituate, MA 02066

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5388 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

85 Front St
Scituate, MA 02066-1315

Mailing address

85 Front St
Scituate, MA 02066-1315

Other practice location 1

250 Granite St Ste 216
Braintree, MA 02184-2809
Phone (781) 849-9944

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 11, 2019.

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1689216533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 FRONT ST",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020661315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 FRONT ST",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020661315",
            "telephone_number": "781-545-0792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Granite St Ste 216",
            "address_purpose": "LOCATION",
            "city": "Braintree",
            "state": "MA",
            "postal_code": "021842809",
            "country_code": "US",
            "telephone_number": "781-849-9944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDRADE",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scituate, MA

Sources for this page

Verify at the official NPI Registry.