Individual provider Active NPI

Melinda Dang, OD

  • Optometrist
  • Hinesville, GA
National Provider Identifier
1902399009
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003085 Issued in GA
Practice address
741 Weeping Willow Dr Ste a
Hinesville, GA 31313-3912
Phone
(912) 368-2522
Fax
(912) 877-0185
NPI assigned
Jun 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 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 OPT003085 GA Primary

Addresses

Primary practice location

741 Weeping Willow Dr Ste a
Hinesville, GA 31313-3912

Mailing address

1000 Towne Center Blvd
Ste 502
Pooler, GA 31322-4068
Phone (912) 354-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20181012000280 GA Practitioner - Optometry 2264784628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Low Country Eye Associates, PCGroup PAC ID 8729984786, 8 clinicians

Practice addresses (Care Compare)

1000 Gandy Dancer
Richmond Hill, GA 31324-7400
Phone (912) 756-3628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Low Country Eye Associates, PC Optometrist CurrentSince Mar 15, 2021 Accepting new patients
Southcoast Medical Group, LLC PastSince Mar 28, 2021 Accepting new patients

Locations

465 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (912) 877-2422

1000 Towne Center Blvd
Ste 502
Pooler, GA 31322
Phone (912) 748-1272

1000 Gandy Dancer
Richmond Hill, GA 31324
Phone (912) 712-0132

Organizations & group practices 2

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": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1902399009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 TOWNE CENTER BLVD",
            "address_2": "STE 502",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224068",
            "telephone_number": "912-354-4800",
            "fax_number": "912-629-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 WEEPING WILLOW DR STE A",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313133912",
            "telephone_number": "912-368-2522",
            "fax_number": "912-877-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "MELINDA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

Verify at the official NPI Registry.