Active NPI
Melinda Jo Trager, O.D.
- Optometrist
- Bedford, IN
National Provider Identifier
1700984697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18003420B
- Practice address
- 3200 John Williams Blvd
Bedford, IN 47421 - Phone
- (812) 277-1280
- NPI assigned
- Sep 21, 2006
- 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 | 18003420B | IN | Primary |
Addresses
Primary practice location
3200 John Williams Blvd
Bedford, IN 47421
Mailing address
3200 John Williams Blvd
Bedford, IN 47421
Phone (812) 277-1280
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18003420B | IN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222387200000",
"number": "1700984697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 JOHN WILLIAMS BLVD",
"city": "BEDFORD",
"state": "IN",
"postal_code": "47421",
"telephone_number": "812-277-1280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 JOHN WILLIAMS BLVD",
"city": "BEDFORD",
"state": "IN",
"postal_code": "47421",
"telephone_number": "812-277-1280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAGER",
"first_name": "MELINDA",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2008-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18003420B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.