Melissa Carcano, O.D.
Individual provider Active NPI Optometrist · Katy, TX
NPI 1861708950 · NPPES record last updated Aug 26, 2010
Key facts
- NPI
- 1861708950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 7547TG (TX)
- Practice address
- 20220 Katy Fwy Ste D
Katy, TX 77449-7732 - Phone
- (281) 492-6262
- NPI assigned
- Aug 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Elite Vision Care PLLC
Practice addresses (Care Compare)
1615 W League City Pkwy
Suite 100
League City, TX 77573-7458
Phone (281) 554-7080
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110527000229 | TX | Practitioner - Optometry | 3870770936 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7547 | TX | MD | Behavioral Analyst |
| 7547TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Vision Care, PLLC | Optometrist | Current |
Accepting new patients |
| Sebec Corporation | Optometrist | Past |
Accepting new patients |
Locations
1615 W League City Pkwy
League City, TX 77573
1615 W League City Pkwy
Ste 100
League City, TX 77573
Phone (281) 554-7080
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7547TG | TX | Yes |
Addresses
Primary practice location
20220 Katy Fwy Ste D
Katy, TX 77449-7732
Mailing address
6301 Almeda Rd Apt 125
Houston, TX 77021-1056
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.