Melissa Risoli, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000239 Issued in PA

Practice address

1404 W Chester Pike
Havertown, PA 19083-2813

Phone

(610) 853-2001

Fax

(610) 853-3774

NPI assigned

Jun 17, 2005

Last updated

Jun 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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

Pennsylvania College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Pennsylvania LLCGroup PAC ID 3971884883, 118 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Myeyedr Optometry of Pennsylvania, LLC

  dba MyEyeDr.

  • Optometrist
  • Carlisle, PA
  • NPI 1003264607
  Medicare reassignment Care Compare group NPD
• Lafayette Eye Associates, P.C.

  • Specialist
  • Lafayette Hill, PA
  • NPI 1063627925
  Medicare reassignment NPD
• Lafayette Eye Associates, P.C.

  • Optometrist
  • Lafayette Hill, PA
  • NPI 1770579880
  NPD
• Myeyedr Optometry of Pennsylvania, LLC

  • Optometrist
  • Cranberry Township, PA
  • NPI 1093688491
  NPD
• Myeyedr Optometry of Pennsylvania, LLC

  dba MyEyeDr.

  • Optometrist
  • Media, PA
  • NPI 1932852571
  NPD
• Ophthalmology Consulting Services, PC

  • Ophthalmology Physician
  • Blue Bell, PA
  • NPI 1831195213
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1871598698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 GERMANTOWN PIKE",
            "address_2": "STE 200",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441816",
            "telephone_number": "610-825-8210",
            "fax_number": "610-825-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 W CHESTER PIKE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832813",
            "telephone_number": "610-853-2001",
            "fax_number": "610-853-3774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "413 Germantown Pike",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lafayette Hill",
            "state": "PA",
            "postal_code": "194441816",
            "country_code": "US",
            "telephone_number": "610-825-8210",
            "fax_number": "610-825-8208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RISOLI",
        "first_name": "MELISSA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00568500",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8316309",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016038600001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rheumatology Consultants
• Richard L Jahnle MD PC
• Andrea Richards
• Brad Edward Richardson
• Clifford Richmond, MA, LMFT
• Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 00790)
• Rita Lorraine Ritsema, MD
• Syed M Rizvi, M.D.
• Elizabeth Spencer Rizzo
• Robert D. Lehman, Jr., MD, PC

• Optometrist in Havertown, PA
• Providers in Havertown, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.