Active NPI
Melvin Lee Mann, O.D.
- Optometrist
- Bluefield, WV
National Provider Identifier
1861572885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0690-OD
- Practice address
- 332 North St
Bluefield, WV 24701-4038 - Phone
- (304) 325-8685
- Fax
- (304) 324-0429
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0690-OD | WV | Primary |
Addresses
Primary practice location
332 North St
Bluefield, WV 24701-4038
Mailing address
332 North St
Bluefield, WV 24701-4038
Phone (304) 325-8685
Other practice location 1
4008 MacCorkle Ave SW
South Charleston, WV 25309-1510
Phone (304) 744-9533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151125001168 | WV | Practitioner - Optometry | 6305146200 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0690-OD | WV | MD | Optometrist |
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": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1861572885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 NORTH ST",
"city": "BLUEFIELD",
"state": "WV",
"postal_code": "247014038",
"telephone_number": "304-325-8685",
"fax_number": "304-324-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 NORTH ST",
"city": "BLUEFIELD",
"state": "WV",
"postal_code": "247014038",
"telephone_number": "304-325-8685",
"fax_number": "304-324-0429"
}
],
"practiceLocations": [
{
"address_1": "4008 MacCorkle Ave SW",
"address_purpose": "LOCATION",
"city": "South Charleston",
"state": "WV",
"postal_code": "253091510",
"country_code": "US",
"telephone_number": "304-744-9533",
"fax_number": "304-744-2387",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANN",
"first_name": "MELVIN",
"middle_name": "LEE",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WV",
"license": "0690-OD",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bluefield, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.