MELISSA LI OD NPI 1063082972
Optometrist in Pleasanton, CA


Melissa Li is a provider established in Pleasanton, California and her medical specialization is Optometrist with more than 3 years of experience. The NPI number of this provider is 1063082972 and was assigned on July 2021. The practitioner's primary taxonomy code is 152W00000X with license number 34939 (CA). The provider is registered as an individual and her NPI record was last updated one year ago.

Provider Name MELISSA LI OD
Location Address1104 STONERIDGE MALL RD PLEASANTON, CA 94588
Location Phone(925) 463-3520
Mailing Address457 38TH ST OAKLAND, CA 94609
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2021
Is Sole Proprietor?No
Enumeration Date07-01-2021
Last Update Date05-24-2022

Melissa Li is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

Melissa Li is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $39.19 for a new patient copayment and $21.68 for an established patient copayment.

Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code152W00000X
TypeEye and Vision Services Providers
License No.34939
License StateCA
Taxonomy DescriptionDoctors 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.

Business Address

ZIP 94588
Phone: (925) 463-3520

Get Directions

Mailing Address

457 38TH ST
ZIP 94609
Phone: (510) 960-0437

Secondary Locations

2580 Old 1st St
Livermore, CA 94550
(925) 449-8188

Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID2567860398
PECOS Enrollment IDI20211008002225
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesNo

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 94588 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$69.92 $206.38 $156.78
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$17.48 $51.59 $39.19
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$22.97 $169.96 $86.73
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.74 $42.49 $21.68

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 0 + 8 + 4 + 9 + 1 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1063082972 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588847768 LIJING YAO O.D.
(925) 463-3520
Optometrist1104 STONERIDGE MALL RD
(925) 463-3520
1629144191 BEI ZHANG O.D.
Optometrist1104 STONERIDGE MALL RD
(925) 463-3520
Eyewear Supplier1104 STONERIDGE MALL RD
(925) 463-3520
1245382431 DOUGLAS F LEE O.D.
(925) 463-3520

Frequently Asked Questions

What is Melissa Li OD NPI number?

The NPI number assigned to this healthcare provider is 1063082972, registered as an "individual" on July 01, 2021

Where is Melissa Li OD located?

The provider is located at 1104 Stoneridge Mall Rd Pleasanton, Ca 94588 and the phone number is (925) 463-3520

Which is Melissa Li OD specialty?

The provider's speciality is Optometrist

How many years of experience does Melissa Li OD have?

The provider has more than 3 years of experience.

Is Melissa Li OD registered in PECOS?

Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

How much is a visit to Melissa Li OD?

Medicare beneficiaries should expect a typical cost of $156.78 with an average copayment of $39.19 for new patient appointments. Established patients should expect a typical charge of $86.73 and an average copayment of 21.68. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

The NPI record of Melissa Li OD was last updated on July 01, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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