Individual provider Active NPI

Melanie Leung, O.D.

  • Optometrist
  • Humble, TX
National Provider Identifier
1811339740
Registry record updated Aug 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8219-T Issued in TX
Practice address
9701 N Sam Houston Pkwy E Ste 100
Humble, TX 77396-4636
Phone
(281) 360-2021
NPI assigned
Jul 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8219-T TX Primary

Addresses

Primary practice location

9701 N Sam Houston Pkwy E Ste 100
Humble, TX 77396-4636

Mailing address

9701 N Sam Houston Pkwy E Ste 100
Humble, TX 77396-4636
Phone (281) 360-2021

Other names 1

  • Melanie Lau Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150611001047 TX Practitioner - Optometry 9032430350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Eye Care, IncGroup PAC ID 6507035912, 2 clinicians

Practice addresses (Care Compare)

9701 N Sam Houston Pkwy E
Suite 100
Humble, TX 77396-4636
Phone (281) 360-2021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8219TXMDGeneral Practice Dentistry
8219-TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Eye Care, Inc CurrentSince Apr 11, 2015 Accepting new patients

Locations

9701 N Sam Houston Pkwy E
Ste 100
Humble, TX 77396
Phone (281) 360-2021

Organizations & group practices 1

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": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439078400000",
    "number": "1811339740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 N SAM HOUSTON PKWY E STE 100",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773964636",
            "telephone_number": "281-360-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 N SAM HOUSTON PKWY E STE 100",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773964636",
            "telephone_number": "281-360-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "MELANIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2015-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8219-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "LAU",
            "credential": "O.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.