MELODIE NANNENGA (NPI# 1568495521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568495521 |
| Entity Type | Individual |
| Full Name | MELODIE NANNENGA |
| Credential | OD |
| Practice Address |
5110s Power Rd Mesa AZ 85212-4201 |
| Mailing Address |
12036e Via De Palmas Chandler AZ 85249-3405 |
| Practice Telephone | 4802810271 |
| Mailing Telephone | 6123821979 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2015-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1520 | AZ | Eye and Vision Services Providers |
| Street Address |
5110S POWER RD |
| City | MESA |
| State | AZ |
| Zip Code | 85212-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
| 1215553565 | Andrew Eugene Pak | Dentist | 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 | 2020-06-23 |
| 1588200265 | Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 | 2019-11-18 |
| 1194371526 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4316 S Signal Butte Rd, Mesa, AZ 85212 | 2019-08-12 |
| 1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
| 1033623541 | Latanya Olivia Edenburgs | Case Manager/Care Coordinator | 10436 E Radiant Ave., Mesa, AZ 85212 | 2017-11-20 |
| 1205355880 | Linda Okafor | Nurse Practitioner | 4719 S Calderon Circle, Mesa, AZ 85212 | 2017-09-14 |
| 1689121188 | Agh Mesa LLC | General Acute Care Hospital | 9130 East Elliot Road, Mesa, AZ 85212 | 2016-09-01 |
| 1861841918 | Ryan Blake | Dentist | 4425 S. Mountain Road, Ste 109, Mesa, AZ 85212 | 2016-06-09 |
| 1083089460 | White Glove Health | Nurse Practitioner | 2906 S Lynch Cr, Mesa, AZ 85212 | 2015-12-10 |
| Find all providers in zip 85212 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
| 1053939306 | Corey Dunlop | Optometrist | 1025 S Power Rd Ste 102, Mesa, AZ 85206-5240 | 2020-07-13 |
| 1275001927 | Arizona Vision of Mesa | Optometrist | 1425 S Alma School Rd Ste 103, Mesa, AZ 85210-2000 | 2018-11-09 |
| 1538681762 | Kelsey Lynn Roumfort | Optometrist | 1303 S Longmore Ste 2, Mesa, AZ 85202-9607 | 2017-07-10 |
| 1629520663 | Tom Sowash Od & Associates, PC | Optometrist | 1826 S Signal Butte Rd, Suite 101, Mesa, AZ 85209-2730 | 2016-10-25 |
| 1235594391 | Trusight Optometry, LLC | Optometrist | 6525 E Southern Ave, Mesa, AZ 85206-3711 | 2015-12-16 |
| 1720419534 | Todd Christian Brown | Optometrist | 8435 E Baseline Rd Bldg C, Mesa, AZ 85209-4379 | 2013-12-03 |
| 1154692226 | Mesa Vision Partners,pllc | Optometrist | 937 N Dobson Rd, Ste 102, Mesa, AZ 85201-7588 | 2012-01-22 |
| 1649553355 | Elena Filatova | Optometrist | 1423 S Higley Rd Ste 104, Mesa, AZ 85206-3449 | 2011-09-20 |
| 1962784975 | Blaine Kenneth Watkins | Optometrist | 1155 S Power Rd, Suite 102, Mesa, AZ 85206-3715 | 2011-09-15 |
| Find all providers in MESA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.