Individual provider Active NPI

Melody Kay Fikkert, OD

  • Optometrist
  • Webster, TX
National Provider Identifier
1972614063
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5242TG Issued in TX
Practice address
100 E Nasa Pkwy Ste 70
Webster, TX 77598-5300
Phone
(281) 332-0698
Fax
(281) 332-6689
NPI assigned
Aug 31, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5242TG TX Primary

Addresses

Primary practice location

100 E Nasa Pkwy Ste 70
Webster, TX 77598-5300

Mailing address

100 E Nasa Pkwy Ste 70
Webster, TX 77598-5300
Phone (281) 332-0698

Other identifiers 1

IdentifierTypeStateIssuer
10117769OtherTXDPS

Other names 1

  • Melody Kay Peck Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20041104000813 TX Practitioner - Optometry 4486617164 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Melissa M. Sommers, OD, PCGroup PAC ID 5991794356, 2 clinicians

Practice addresses (Care Compare)

100 E Nasa Pkwy
70 Nasa Vision Ctr
Webster, TX 77598-5300
Phone (281) 332-0698

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5242TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin Katz OD PC Optometrist CurrentSince Mar 20, 2013 Accepting new patients
Melissa M. Sommers, OD, PC Optometrist CurrentSince Feb 26, 2017 Accepting new patients
Ron G Davidson, OD PC Dba Eyes Nouveau Optometrist PastSince Jul 20, 2010 Accepting new patients
Med Southwest, PLLC Optometrist PastSince Dec 1, 2019 Accepting new patients

Locations

515 22nd St
Galveston, TX 77550
Phone (409) 762-8679

100 E Nasa Pkwy
Ste 70
Webster, TX 77598
Phone (281) 332-0698

Organizations & group practices 4

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1972614063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E NASA PKWY STE 70",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775985300",
            "telephone_number": "281-332-0698",
            "fax_number": "281-332-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E NASA PKWY STE 70",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775985300",
            "telephone_number": "281-332-0698",
            "fax_number": "281-332-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIKKERT",
        "first_name": "MELODY",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-03-07",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5242TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "10117769",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELODY",
            "last_name": "PECK",
            "middle_name": "KAY",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.