Melissa Jo Hull, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3235ATI Issued in OR

Practice address

1815 SW Emigrant Ave
Pendleton, OR 97801-1843

Phone

(541) 276-3653

Fax

(541) 966-4322

NPI assigned

Aug 8, 2007

Last updated

Mar 3, 2023By 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 1

Addresses

Other identifiers 1

Other names 1

• Melissa Jo Hedman Former name

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Pendleton LLCGroup PAC ID 7315932068, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mhedman@direct.revolutionehr.com

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.

• Vision Pendleton LLC

  • Optometrist
  • Pendleton, OR
  • NPI 1487786455
  Medicare reassignment Care Compare group NPD
• Vision Source

  • Optometrist
  • Las Vegas, NV
  • NPI 1194035105
  NPD (past)

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1689865180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 HEMLOCK ST",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970346321",
            "telephone_number": "503-866-6857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 SW EMIGRANT AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978011843",
            "telephone_number": "541-276-3653",
            "fax_number": "541-966-4322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18070 NW Evergreen Pkwy",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970067451",
            "country_code": "US",
            "telephone_number": "503-645-5076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULL",
        "first_name": "MELISSA",
        "middle_name": "JO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3235ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OD LICENSE",
            "identifier": "3235ATI",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "HEDMAN",
            "middle_name": "JO",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charlene Louise Hoobler, PEER MENTOR
• Rachel Marie Hoptowit, CRM
• Roxanna J Hoyt
• Julie A Hughes, FNP-BC
• Amanda Hull
• Chad Hutchins
• Chelsie Cierra Hutson
• Luis Ibarra, CADCI
• Sue Ann Imhoff, LCSW
• In Home Medical Inc.

• Optometrist in Pendleton, OR
• Providers in Pendleton, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.