Carl Bernard Melnik, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

04723T Issued in CA

Practice address

18013 Chatsworth St
Granada Hills, CA 91344-5608

Phone

(818) 366-2020

Fax

(818) 366-6898

NPI assigned

Mar 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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.

• Granada Hills Optometry Center

  • Optometrist
  • Granada Hills, CA
  • NPI 1376648469
  NPD (past) Authorized official
• Eric W Leser OD a Professional Corporation

  • Optometrist
  • Granada Hills, CA
  • NPI 1841590379
  NPD

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1871553891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18013 CHATSWORTH ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445608",
            "telephone_number": "818-366-2020",
            "fax_number": "818-366-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18013 CHATSWORTH ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445608",
            "telephone_number": "818-366-2020",
            "fax_number": "818-366-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELNIK",
        "first_name": "CARL",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "04723T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICE INSUR",
            "identifier": "3641",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CIGNA GROUP NO.",
            "identifier": "4953670001",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0047230 9",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medwheelz Inc
• Mehdi Fakhrai MD, F.I.C.S., F.a.C.S., Medical Corporation
• Kalyani Nilesh Mehta, MD
• Albert J Melaragno, M.D.
• Jacob J Melgar
• Melizza Atienza Mendoza
• Meridian Elderly Assisted Living Inc
• Meyer Psychotherapy, Inc
• James Anthony Michail, M.D.
• Philip Edward Michalowicz

• Optometrist in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.