Melissa Nichole Thomas, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2996 Issued in TN

Practice address

5491 Creekwood Park Blvd
Lenoir City, TN 37772-1204

Phone

(800) 500-4667

Fax

(833) 448-2983

NPI assigned

Jul 22, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Optometry

Education

Southern College of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melissa.thomas.1@20785.direct.athenahealth.com

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.

• Summit Medical Group, PLLC

  • Internal Medicine Physician
  • Brentwood, TN
  • NPI 1659090298
  Medicare reassignment Care Compare group NPD
• Summit Medical Group, PLLC

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1548349186
  NPD
• Summit Medical Group, PLLC

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1699722470
  NPD (past)

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1982982187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 DICK LONAS RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091382",
            "telephone_number": "865-584-4747",
            "fax_number": "865-381-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5491 CREEKWOOD PARK BLVD",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377721204",
            "telephone_number": "800-500-4667",
            "fax_number": "833-448-2983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2145 Jacksboro Pike",
            "address_purpose": "LOCATION",
            "city": "LaFollette",
            "state": "TN",
            "postal_code": "377663003",
            "country_code": "US",
            "telephone_number": "423-562-1531",
            "fax_number": "423-562-1724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1798 Roane State Hwy",
            "address_purpose": "LOCATION",
            "city": "Harriman",
            "state": "TN",
            "postal_code": "377488305",
            "country_code": "US",
            "telephone_number": "800-500-4667",
            "fax_number": "833-448-2981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Cheshire Dr",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379195813",
            "country_code": "US",
            "telephone_number": "800-500-4667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1639 W Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378132832",
            "country_code": "US",
            "telephone_number": "800-500-4667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1639 W Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378132832",
            "country_code": "US",
            "telephone_number": "800-500-4667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7714 Conner Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "TN",
            "postal_code": "378493559",
            "country_code": "US",
            "telephone_number": "800-500-4667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MELISSA",
        "middle_name": "NICHOLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-22",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mthomas@tneyecare.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Eye Care Centers PLLC",
            "address_1": "1798 Roane State Hwy",
            "city": "Harriman",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377488305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tennessee Orthopaedic Clinics PC
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• The Nowell Corporation
• The Pulmonary & Sleep Consultants
• Therastaffing, LLC
• Samantha Thomas
• Stefany Thomas
• Stephanie Susanne Thomas, PTA
• Crystal Leann Tinch, FNP-C
• Town Creek Family Dentistry

• Optometrist in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.