Individual provider Active NPI

Melissa Hoercher, OD

  • Optometrist
  • Daphne, AL
National Provider Identifier
1730117136
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S836TA370 Issued in AL
Practice address
7101 US Highway 90
Suite 204
Daphne, AL 36526-9512
Phone
(251) 410-9000
Fax
(251) 410-9200
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S836TA370 AL Primary

Addresses

Primary practice location

7101 US Highway 90
Suite 204
Daphne, AL 36526-9512

Mailing address

2880 Dauphin St
Mobile, AL 36606-2457
Phone (251) 473-1900

Other identifiers 1

IdentifierTypeStateIssuer
009933584MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20060111000138 AL Practitioner - Optometry 1850312786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baldwin Eye Clinic One Hour OpticialGroup PAC ID 8820018435, 4 clinicians

Practice addresses (Care Compare)

27900 N Main St
Suite 1
Daphne, AL 36526-7078
Phone (251) 621-1211

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S836TA370ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Eye Clinic One Hour Opticial Optometrist CurrentSince Sep 3, 2020 Accepting new patients
Eyecare Associates, Inc. Optometrist PastSince Jun 23, 2010 Accepting new patients
Premier Health Management, Inc. Past Accepting new patients

Locations

27900 N Main St
Daphne, AL 36526
Phone (251) 621-1211

27900 N Main St
Ste 1
Daphne, AL 36526
Phone (251) 621-1211

Organizations & group practices 3

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1730117136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366062457",
            "telephone_number": "251-473-1900",
            "fax_number": "251-470-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 US HIGHWAY 90",
            "address_2": "SUITE 204",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269512",
            "telephone_number": "251-410-9000",
            "fax_number": "251-410-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOERCHER",
        "first_name": "MELISSA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S836TA370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009933584",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

Verify at the official NPI Registry.