Jeffrey David Melicher, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2409 Issued in MN

Practice address

5465 Mountain Iron Dr
Suite 700
Virginia, MN 55792-3372

Phone

(218) 741-3000

Fax

(218) 741-0800

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Pacific University - College of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Melicher, P.C.

  • Optometrist
  • Virginia, MN
  • NPI 1629254867
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324166400000",
    "number": "1831235662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4369 OLAUGHLIN DR",
            "city": "EVELETH",
            "state": "MN",
            "postal_code": "557344029",
            "telephone_number": "218-744-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5465 MOUNTAIN IRON DR",
            "address_2": "SUITE 700",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557923372",
            "telephone_number": "218-741-3000",
            "fax_number": "218-741-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELICHER",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2011-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassie M McDowell, LPCC, LADC
• Charles Steven McDowell, MD
• Tonya Meinerding, PHARM D
• Madison Michelle Meittunen
• Andrew Mekhail
• Melicher, P.C.
• Katie Merchant
• Mesabi Dental Service
• Mesabi Eyewear, Inc.
• Mesabi Family Young Men'S Christian Association

• Optometrist in Virginia, MN
• Providers in Virginia, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2011; 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.