Melissa Petersohn, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-009778 Issued in IL

Practice address

700 E Higgins Rd
Schaumburg, IL 60173-4701

Phone

(847) 884-8799

NPI assigned

Jul 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Melissa Bayard Former name

Medicare fee-for-service enrollment

Enrolled in IL

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

Illinois College of Optometry at Chicago, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. Joanna M. Kawecka, P.C.Group PAC ID 4981917366, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dr. Joanna M. Kawecka, P.C.

  • Optometrist
  • Schaumburg, IL
  • NPI 1639566748
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1699780262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 BALDWIN CT",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601332966",
            "telephone_number": "312-636-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E HIGGINS RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734701",
            "telephone_number": "847-884-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSOHN",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BAYARD",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Arti Persaud, LPC
• Personal Growth Associates, Inc.
• Judy R Peskind, LCPC
• Annabel Petersen
• Kelly Petersen, MS CCC SLP
• Bruce B Peterson, O.D.
• Danielle Marie Peterson
• Gabriela Daniel Petrova
• Mark Paul Pettersen, MA LPC
• Mylinh Thi Pham, PHARMD

• Optometrist in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.