Active NPI
Melanie Anne Mook, O.D.
- Optometrist
- Lodi, CA
National Provider Identifier
1699875690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9509 TPA
- Practice address
- 621 S Ham LN
Suite C
Lodi, CA 95242-3533 - Phone
- (925) 309-9812
- Fax
- (209) 367-1089
- NPI assigned
- Sep 22, 2006
- 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 | 9509 TPA | CA | Primary |
Addresses
Primary practice location
621 S Ham LN
Suite C
Lodi, CA 95242-3533
Mailing address
621 S Ham LN
Suite C
Lodi, CA 95242-3533
Phone (925) 309-9812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140114001391 | CA | Practitioner - Optometry | 1456589605 | Practice locations: Lodi, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
621 S Ham LN
Suite C
Lodi, CA 95242-3533
Phone (209) 367-1000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 34 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9509 TPA | CA | MD | Optometrist |
| 9509 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448409600000",
"number": "1699875690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 S HAM LN",
"address_2": "SUITE C",
"city": "LODI",
"state": "CA",
"postal_code": "952423533",
"telephone_number": "925-309-9812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 S HAM LN",
"address_2": "SUITE C",
"city": "LODI",
"state": "CA",
"postal_code": "952423533",
"telephone_number": "925-309-9812",
"fax_number": "209-367-1089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOOK",
"first_name": "MELANIE",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2015-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "9509 TPA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.