Individual provider Active NPI

Melanie Chaney, O.D.

  • Optometrist
  • Pelham, AL
National Provider Identifier
1922188960
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
R-238-TA-A10 Issued in AL
Practice address
3590B Pelham Pkwy Unit 190
Pelham, AL 35124-2034
Phone
(440) 463-6500
NPI assigned
Oct 16, 2006
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4730 OH
Optometrist 152W00000X R-238-TA-A10 AL Primary

Addresses

Primary practice location

3590B Pelham Pkwy Unit 190
Pelham, AL 35124-2034

Mailing address

3590B Pelham Pkwy Unit 190
Pelham, AL 35124-2034
Phone (440) 463-6500

Other identifiers 1

IdentifierTypeStateIssuer
611420575054OtherOHCARESOURCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20210415002224 AL Practitioner - Optometry 3577554013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
C E Bonds LLCGroup PAC ID 2062669443, 3 clinicians

Practice addresses (Care Compare)

1701 McFarland Blvd E
Suite 205
Tuscaloosa, AL 35404-5833
Phone (205) 553-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R-238-TA-A10ALMDOptometrist
4730OHMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizons Eyecare, PC Optometrist PastSince Apr 2, 2012 Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1922188960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590B PELHAM PKWY UNIT 190",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242034",
            "telephone_number": "440-463-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590B PELHAM PKWY UNIT 190",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242034",
            "telephone_number": "440-463-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANEY",
        "first_name": "MELANIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4730",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R-238-TA-A10",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "611420575054",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

Verify at the official NPI Registry.