Individual provider Active NPI

Melissa K Downs, OD

  • Optometrist
  • Rochester, MN
National Provider Identifier
1952385445
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2578 Issued in MN
Practice address
3630 11TH Ave NW
Rochester, MN 55901-4276
Phone
(507) 288-2457
Fax
(507) 288-1299
NPI assigned
Nov 30, 2005
Last updated
May 28, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2578 MN Primary

Addresses

Primary practice location

3630 11TH Ave NW
Rochester, MN 55901-4276

Mailing address

3630 11TH Ave NW
Rochester, MN 55901-4276
Phone (507) 288-2457

Other identifiers 5

IdentifierTypeStateIssuer
6C326D0OtherMNBCBS OF MN
01017734OtherPREFERRED ONE
809840900MedicaidMN
HP44094OtherHEALTH PARTNERS
2201133OtherMEDICA CHOICE SELECT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20100818000766 MN Practitioner - Optometry 6103841556 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
Rochester Family Eye Clinic LLCGroup PAC ID 7214952662, 6 clinicians

Practice addresses (Care Compare)

3630 11TH Ave NW
Rochester, MN 55901-4276
Phone (507) 288-2457

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2578MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Family Eye Clinic LLC Optometrist CurrentSince Jan 1, 1998 Accepting new patients

Locations

3630 11th Ave NW
Rochester, MN 55901
Phone (507) 288-2457

Organizations & group practices 1

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1952385445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 11TH AVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559014276",
            "telephone_number": "507-288-2457",
            "fax_number": "507-288-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 11TH AVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559014276",
            "telephone_number": "507-288-2457",
            "fax_number": "507-288-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNS",
        "first_name": "MELISSA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "6C326D0",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "01017734",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "809840900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP44094",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA CHOICE SELECT",
            "identifier": "2201133",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.