Melanie Ann Stimpson

Primary specialty

OptometristTaxonomy code 152W00000X

License

1900035 Issued in WI

Practice address

2149 Velp Ave
Ste 100
Green Bay, WI 54303-5424

Phone

(920) 434-3767

Fax

(920) 434-8128

NPI assigned

May 20, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Melanie Ann Reimer Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1760649529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 VELP AVE",
            "address_2": "STE 100",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543035424",
            "telephone_number": "920-434-3767",
            "fax_number": "920-434-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 VELP AVE",
            "address_2": "STE 100",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543035424",
            "telephone_number": "920-434-3767",
            "fax_number": "920-434-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIMPSON",
        "first_name": "MELANIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1900035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38524200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "REIMER",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Peggy Stewart
• Bridget A Stiles, OT
• Bridget E Stillman, APNP
• Erin C Stillmank, APNP
• Amy Stillson
• Rosemary Stine, MS.CCC.SLP
• Kathleen Stiteley, MA, LPC
• Kathleen Stockman, MSW, LCSW, CSAC
• Kaylee M Stodola, SAC-IT
• Levi A Stodola, MD

• Optometrist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.