Individual provider Active NPI

Melissa Kellogg Schultz, O.D.

  • Optometrist
  • Troy, MI
National Provider Identifier
1891859633
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004217 Issued in MI
Practice address
1301 Coolidge Hwy
Troy, MI 48084-7017
Phone
(248) 643-9880
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004217 MI Primary

Addresses

Primary practice location

1301 Coolidge Hwy
Troy, MI 48084-7017

Mailing address

3213 Tamarron Dr
Rochester Hills, MI 48309-1248
Phone (248) 375-5634

Other practice location 1

4114 W Maple Rd
Bloomfield Township, MI 48301-3000
Phone (248) 539-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040301000514 MI Practitioner - Optometry 9234026741 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Birmingham Vision CareGroup PAC ID 5193734192, 3 clinicians
Myeyedr Optometry of Michigan LLCGroup PAC ID 7416288949, 58 clinicians

Practice addresses (Care Compare)

4114 W Maple Rd
Bloomfield Township, MI 48301-3000
Phone (248) 539-4800

48873 Hayes Rd
Shelby Township, MI 48315-4405
Phone (586) 247-2121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004217MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Vision Care Optometrist CurrentSince Jun 1, 2022 Accepting new patients
Optical Management Services, LLC Optometrist Past Accepting new patients

Locations

4114 W Maple Rd
Bloomfld Hls, MI 48301
Phone (248) 539-4800

Interoperability endpoints

  • Direct secure messaging: melissa.kellogg.schultz.1@14250.direct.athenahealth.com

Organizations & group practices 3

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1891859633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 TAMARRON DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091248",
            "telephone_number": "248-375-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 COOLIDGE HWY",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480847017",
            "telephone_number": "248-643-9880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4114 W Maple Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Township",
            "state": "MI",
            "postal_code": "483013000",
            "country_code": "US",
            "telephone_number": "248-539-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "MELISSA",
        "middle_name": "KELLOGG",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.