Melanie Marie Prosise, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

06143TG Issued in TX

Practice address

3410 Far West Blvd
Suite 140
Austin, TX 78731-3167

Phone

(512) 427-1100

Fax

(512) 427-1207

NPI assigned

Sep 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Melanie Marie Prosise Lein Other name

Medicare fee-for-service enrollment

Enrolled in TX

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

Pennsylvania College of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Clinic of Austin PLLCGroup PAC ID 1951558121, 4 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Eye Clinic of Austin PLLC

  • Ophthalmology Physician
  • Austin, TX
  • NPI 1023363926

  Optometrist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1801988316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 FAR WEST BLVD",
            "address_2": "SUITE 140",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313194",
            "telephone_number": "512-427-1100",
            "fax_number": "512-427-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 FAR WEST BLVD",
            "address_2": "SUITE 140",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313167",
            "telephone_number": "512-427-1100",
            "fax_number": "512-427-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSISE",
        "first_name": "MELANIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "06143TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157449301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "LEIN",
            "middle_name": "MARIE PROSISE",
            "prefix": "DR.",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Erik H Pronske, MD
• Proper Care LLC
• Latoyre Prophet, MA, LMFT
• Anthony Mark Propst, M.D.
• Amber Prosceno, LMT
• Alexandra Anthony Prosk, MSN, APRN, PMHNP-BC
• Prosperity Psychotherapy, PLLC
• Prosthodontics of Texas P.C.
• David James Prout, LMT
• Vincent Edward Provasek, MDPHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.