Tso Melissa LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

TSO MELISSA LLC

Practice address

2613 Sentinel Way Ste 400
Melissa, TX 75454-2798

Phone

(432) 230-5615

NPI assigned

Dec 8, 2021

Last updated

Apr 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Reid Andrew RobertsonNPI 1306159520

Title

President

Phone

(214) 495-0095

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Reid Andrew Robertson, O.D.

  • Optometrist
  • Allen, TX
  • NPI 1306159520
  Medicare reassignment NPD Authorized official
• Benjamin Johnston Allen, OD

  • Optometrist
  • Melissa, TX
  • NPI 1013643246
  Medicare reassignment NPD

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1801554738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2613 SENTINEL WAY STE 400",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754542798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2613 SENTINEL WAY STE 400",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754542798",
            "telephone_number": "432-230-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSO MELISSA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "REID",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-495-0095",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Melissa, TX
• Providers in Melissa, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.