Individual provider Active NPI

Melissa Marie Plana-Barnes, OD

  • Optometrist
  • Plantation, FL
National Provider Identifier
1790066900
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4652 Issued in FL
Practice address
8251 W Broward Blvd Ste 200-210
Plantation, FL 33324-2703
Phone
(954) 334-3131
NPI assigned
Sep 1, 2011
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 4652 FL Primary

Addresses

Primary practice location

8251 W Broward Blvd Ste 200-210
Plantation, FL 33324-2703

Mailing address

11701 SW 147TH Ave
Miami, FL 33196-3312
Phone (786) 953-8200

Other practice location 1

4578 W 12th Ave
Hialeah, FL 33012-3325
Phone (305) 828-1989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120725000533 FL Practitioner - Optometry 7719143346 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 4652FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Las Mercedes, LLC CurrentSince Jan 13, 2025 Accepting new patients
Clinica Las Mercedes, LLC Current Accepting new patients
Clinica Las Mercedes, LLC CurrentSince Jan 13, 2025 Accepting new patients
Sidney J Stern Visual Health Centers PA Optometrist Past Accepting new patients
Sidney J Stern Visual Health Centers PA Optometrist PastSince Nov 1, 2005 Accepting new patients

Locations

11701 SW 147th Ave
Miami, FL 33196
Phone (786) 953-8200

1479 NW 27th Ave
Miami, FL 33125
Phone (305) 633-3776

8251 W Broward Blvd
Ste 200210
Plantation, FL 33324
Phone (954) 334-3131

6355 NW 36th St
Ste 1100
Virginia Gardens, FL 33166

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1790066900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 SW 147TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963312",
            "telephone_number": "786-953-8200",
            "fax_number": "786-953-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8251 W BROWARD BLVD STE 200-210",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242703",
            "telephone_number": "954-334-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4578 W 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330123325",
            "country_code": "US",
            "telephone_number": "305-828-1989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLANA-BARNES",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.