Individual provider Active NPI

Jenet A Melton, OD

  • Optometrist
  • Helena, MT
National Provider Identifier
1720008535
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
604 Issued in MT
Practice address
1040 Partridge PL Stes 9 and 10
Helena, MT 59602-0517
Phone
(406) 449-3937
Fax
(406) 449-3937
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 604 MT Primary
Low Vision Rehabilitation Optometrist 152WL0500X 604 MT
Vision Therapy Optometrist 152WV0400X 604 MT

Addresses

Primary practice location

1040 Partridge PL Stes 9 and 10
Helena, MT 59602-0517

Mailing address

1040 Partridge PL Stes 9 and 10
Helena, MT 59602-0518
Phone (406) 449-3937

Other identifiers 1

IdentifierTypeStateIssuer
048-1678MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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

Enrollment IDStateProvider typePAC IDDetails
I20121005000311 MT Practitioner - Optometry 0547370041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1040 Partridge Place
Suite 10
Helena, MT 59602-0518
Phone (406) 449-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Vision Care Optometrist CurrentSince Dec 6, 2003 Accepting new patients

Locations

1040 Partridge Pl
Ste 10
Helena, MT 59602
Phone (406) 449-3937

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1720008535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 PARTRIDGE PL STES 9 AND 10",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020518",
            "telephone_number": "406-449-3937",
            "fax_number": "406-449-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 PARTRIDGE PL STES 9 AND 10",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020517",
            "telephone_number": "406-449-3937",
            "fax_number": "406-449-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTON",
        "first_name": "JENET",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "604",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "MT",
            "license": "604",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "MT",
            "license": "604",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048-1678",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.