Active NPI
Melissa J Butler, OD OPTOMETRIST
- Optometrist
- Greenfield, MA
National Provider Identifier
1699818922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3657
- Practice address
- 33 Riddell St
Greenfield, MA 01301-2025 - Phone
- (413) 774-7016
- Fax
- (413) 773-7596
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 3657 | MA | Primary |
Addresses
Primary practice location
33 Riddell St
Greenfield, MA 01301-2025
Mailing address
33 Riddell St
Greenfield, MA 01301-2025
Phone (413) 774-7016
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W17011 | Other | MA | BCBS |
| 0369276 | Medicaid | MA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
344 Russell St
Suite 5
Hadley, MA 01035-5904
Phone (413) 584-0452
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3657 | MA | MD | Registered Dietitian |
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 and National Provider Directory roles.
-
- Optometrist
- Malden, MA
- NPI 1063610194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294963200000",
"number": "1699818922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 RIDDELL ST",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013012025",
"telephone_number": "413-774-7016",
"fax_number": "413-773-7596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 RIDDELL ST",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013012025",
"telephone_number": "413-774-7016",
"fax_number": "413-773-7596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "MELISSA",
"middle_name": "J",
"credential": "OD OPTOMETRIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2011-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "3657",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "W17011",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0369276",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.