Individual provider Active NPI

Melanie Louise Mason, O.D.

  • Optometrist
  • Livermore, CA
National Provider Identifier
1891082913
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14231 Issued in CA
Practice address
1800 4TH St
Livermore, CA 94550
Phone
(925) 447-3883
NPI assigned
Jul 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14231 CA Primary

Addresses

Primary practice location

1800 4TH St
Livermore, CA 94550

Mailing address

1800 4TH St
Livermore, CA 94550-4454
Phone (925) 447-3883

Other practice location 1

2222 Bancroft Way
3rd Floor
Berkeley, CA 94720-4301
Phone (510) 643-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20120501000743 CA Practitioner - Optometry 0840452264 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Livermore Optometry GroupGroup PAC ID 1850283052, 7 clinicians
Ecs of Bay Area Optometry CorporationGroup PAC ID 4082196399, 15 clinicians
Regents of the University of California at BerkeleyGroup PAC ID 8628083110, 57 clinicians

Practice addresses (Care Compare)

1800 4TH St
Livermore, CA 94550-4454
Phone (925) 447-3883

200 Minor Hall
Berkeley, CA 94720-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14231CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California at Berkeley Optometrist CurrentSince Jul 31, 2017 Accepting new patients
Livermore Optometry Group Optometrist CurrentSince Jul 8, 2017 Accepting new patients
Regents of the University of California at Berkeley Optometrist Past Accepting new patients

Locations

200 Minor Hall
Berkeley, CA 94720
Phone (510) 642-0945

2222 Bancroft Way
Fl 3
Berkeley, CA 94720
Phone (510) 642-9494

200 Minor Hall
Ste 384A
Berkeley, CA 94720
Phone (510) 642-7844

1800 4th St
Livermore, CA 94550
Phone (925) 447-3883

Interoperability endpoints

  • Direct secure messaging: mmason348929@direct-ucsfmedicalcenter.org
  • Direct secure messaging: melanie.mason@uprisedirect.com

Organizations & group practices 4

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": "1310256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1891082913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 4TH ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504454",
            "telephone_number": "925-447-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 4TH ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "94550",
            "telephone_number": "925-447-3883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 Bancroft Way",
            "address_2": "3rd Floor",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947204301",
            "country_code": "US",
            "telephone_number": "510-643-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "MELANIE",
        "middle_name": "LOUISE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-10",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

Verify at the official NPI Registry.