Melissa Perkovich

Primary specialty

OpticianTaxonomy code 156FX1800X

Practice address

4054 Commonwealth Ave
Eau Claire, WI 54701-9000

Phone

(715) 833-1220

Fax

(715) 833-1297

NPI assigned

Jan 16, 2014

Last updated

Jan 16, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• I C 20 20 Eau Claire Inc

  dba Sterling Optical

  • Eyewear Supplier
  • Eau Claire, WI
  • NPI 1487710539

  Optician

  NPD (past)
• Independent Vision Group, LTD

  • Ophthalmology Physician
  • Eau Claire, WI
  • NPI 1043836182
  NPD (past)

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1790107324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4054 COMMONWEALTH AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547019000",
            "telephone_number": "715-833-1220",
            "fax_number": "715-833-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4054 COMMONWEALTH AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547019000",
            "telephone_number": "715-833-1220",
            "fax_number": "715-833-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKOVICH",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38460500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob John Pepper, LAMFT
• James E. Pepperl, MD
• Allison Marie Perenchio
• Rafael De Jesus Perez Rodriguez, MD
• Eduardo J Perez, MD
• Lauren Ann Perry
• Pauline R Perry, OTR
• Kayla Naomi Person, BS
• Margaret Ellen Pertzborn, PHARMD
• Emilia Elena Petcu, M.D.

• Optician in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Optician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.