Active NPI
Melanie Elizabeth Newcomer, OD
- Optometrist
- Norman, OK
National Provider Identifier
1699252213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2998
- Practice address
- 2501 Boardwalk
Norman, OK 73069 - Phone
- (405) 321-2155
- Fax
- (405) 321-1170
- NPI assigned
- Jul 26, 2018
- Last updated
- Jul 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2998 | OK | Primary |
Addresses
Primary practice location
2501 Boardwalk
Norman, OK 73069
Mailing address
2501 Boardwalk
Norman, OK 73069-6372
Phone (405) 321-2155
Other practice location 1
705 City Ave
Moore, OK 73160-3819
Phone (405) 794-7544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2998 | Other | OK | OKLAHOMA BOARD OF EXAMINERS IN OPTOMETRY STATE LICENSE CERTIFICATE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Max D. Venard, O.D., P.C. | Optometrist | Past | Accepting new patients |
Interoperability endpoints
- mnewcomer@moorenormanvc.eyefinity-direct.com
Organizations & group practices 1
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.
-
- Optometrist
- Moore, OK
- NPI 1881745768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532563200000",
"number": "1699252213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 BOARDWALK",
"city": "NORMAN",
"state": "OK",
"postal_code": "730696372",
"telephone_number": "405-321-2155",
"fax_number": "405-321-1170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 BOARDWALK",
"city": "NORMAN",
"state": "OK",
"postal_code": "73069",
"telephone_number": "405-321-2155",
"fax_number": "405-321-1170"
}
],
"practiceLocations": [
{
"address_1": "705 City Ave",
"address_purpose": "LOCATION",
"city": "Moore",
"state": "OK",
"postal_code": "731603819",
"country_code": "US",
"telephone_number": "405-794-7544",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWCOMER",
"first_name": "MELANIE",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-26",
"last_updated": "2018-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "2998",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA BOARD OF EXAMINERS IN OPTOMETRY STATE LICENSE CERTIFICATE NUMBER",
"identifier": "2998",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.