Individual provider Active NPI

Natascha Mellis, OD

  • Optometrist
  • Buda, TX
National Provider Identifier
1982256533
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9782T Issued in TX
Practice address
3310 FM 967 # 108
Buda, TX 78610-3487
Phone
(512) 295-0076
NPI assigned
Jul 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9782T TX Primary

Addresses

Primary practice location

3310 FM 967 # 108
Buda, TX 78610-3487

Mailing address

3310B FM 967
Ste a-108
Buda, TX 78610-3436
Phone (512) 295-0076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191007003152 TX Practitioner - Optometry 6204167182 Reassigns benefits to 1 organization
I20250422001416 CA Practitioner - Optometry 6204167182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1830 Sierra Gardens Dr
Suite 100
Roseville, CA 95661-2942
Phone (916) 782-2111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9782TXMDChiropractor
9782TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Vision Technology Ophthalmology Medical Group Inc. Current Accepting new patients
Medical Vision Technology Ophthalmology Medical Group Inc. CurrentSince Feb 13, 2025 Accepting new patients
Claudia L. Buser, OD, PC Optometrist CurrentSince Jul 8, 2023 Accepting new patients

Locations

1830 Sierra Gardens Dr
Ste 100
Roseville, CA 95661
Phone (916) 782-2111

1700 Alhambra Blvd
Ste 202
Sacramento, CA 95816
Phone (916) 453-2921

1701 Red Bud Ln
Round Rock, TX 78664
Phone (512) 218-4050

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": "1563062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1982256533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310B FM 967",
            "address_2": "STE A-108",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786103436",
            "telephone_number": "512-295-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 FM 967 # 108",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786103487",
            "telephone_number": "512-295-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLIS",
        "first_name": "NATASCHA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-14",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9782T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buda, TX

Sources for this page

Verify at the official NPI Registry.