Active NPI
Melissa Tanbakuchi McBrien, O.D.
- Optometrist
- Raleigh, NC
National Provider Identifier
1891822581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1969
- Practice address
- 7330 Old Wake Forest Rd
Raleigh, NC 27616-3047 - Phone
- (919) 792-2999
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- 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 | 1969 | NC | Primary |
Addresses
Primary practice location
7330 Old Wake Forest Rd
Raleigh, NC 27616-3047
Mailing address
121 Wassaw CT
Holly Springs, NC 27540-9205
Phone (954) 531-7838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 |
|---|---|---|---|---|
| I20170328000946 | NC | Practitioner - Optometry | 4880979202 | Practice locations: Durham, NC; Raleigh, NC |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1969 | NC | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1891822581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 WASSAW CT",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275409205",
"telephone_number": "954-531-7838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7330 OLD WAKE FOREST RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276163047",
"telephone_number": "919-792-2999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIEN",
"first_name": "MELISSA",
"middle_name": "TANBAKUCHI",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.