Alissa Peterson Melton, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2310 Issued in OK

Practice address

1333 W 33Rd St
Edmond, OK 73013-3830

Phone

(405) 478-4444

Fax

(405) 478-4497

NPI assigned

Feb 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Optometry

Education

Southern California College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Omni Eye Center Edmond Inc.Group PAC ID 3072689686, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Omni Eye Center Edmond Inc.

  dba Omni Eye Center - Laser Vision

  • Optometrist
  • Edmond, OK
  • NPI 1902936347
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1790829935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 W 33RD ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133830",
            "telephone_number": "405-478-4444",
            "fax_number": "405-478-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 W 33RD ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133830",
            "telephone_number": "405-478-4444",
            "fax_number": "405-478-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTON",
        "first_name": "ALISSA",
        "middle_name": "PETERSON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2310",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3614",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "731451944 0003",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan L Meier, M.D.
• Melisa Weaver Aprn - CNP PLLC
• Michael Mellard
• Justin Lance Melot
• Braden James Melson
• Ryan Jeffrey Melton, O.D.
• Meltz Medical LLC
• Jamie H Meltzner
• Memorial Hospital of Texas County Authority
• Taylor Mendell, PA

• Optometrist in Edmond, OK
• Providers in Edmond, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.