Individual provider Active NPI

Melissa C Gray, OD

  • Optometrist
  • Miramar, FL
National Provider Identifier
1790424935
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6129 Issued in FL
Practice address
6850 Miramar Pkwy
Miramar, FL 33023-6003
Phone
(000) 000-0000
NPI assigned
Jun 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6129 FL Primary

Addresses

Primary practice location

6850 Miramar Pkwy
Miramar, FL 33023-6003

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

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
I20220722001742 FL Practitioner - Optometry 9739560665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Florida, LLCGroup PAC ID 0143541037, 141 clinicians
Jeffrey E Sager OD PAGroup PAC ID 8224194121, 3 clinicians

Practice addresses (Care Compare)

6850 Miramar Pkwy
Miramar, FL 33023-6003
Phone (954) 961-2200

823 N Nob Hill Rd
Plantation, FL 33324-1038
Phone (954) 476-7631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Aug 1, 2022 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Jeffrey E Sager OD PA CurrentSince Mar 21, 2025 Accepting new patients
Myeyedr. Optometry of Florida, LLC Optometrist CurrentSince Aug 1, 2022 Accepting new patients

Locations

3011 W Yamato Rd
Ste A19
Boca Raton, FL 33434
Phone (561) 995-9600

6850 Miramar Pkwy
Miramar, FL 33023
Phone (954) 961-2200

771 S State Road 7
Plantation, FL 33317
Phone (954) 584-3838

823 N Nob Hill Rd
Plantation, FL 33324
Phone (954) 476-7631

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

2301 Wilton Dr
Ste C1
Wilton Manors, FL 33305
Phone (954) 764-6906

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

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": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1790424935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 MIRAMAR PKWY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330236003",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "MELISSA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.