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MELISSA POLK OD
NPI 1992431597
Optometrist in El Dorado, AR

Active since July 26, 2022PECOS EnrolledAccepts Medicare Assignment
310 THOMPSON AVE, EL DORADO, AR 71730(870) 862-4216(870) 862-2423 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 3, 2025, Jul 26, 2022 (2 updates tracked since 2022).

About Melissa Polk Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA POLK OD (NPI 1992431597) is an individual optometrist in El Dorado, Arkansas, licensed in Arkansas (4049) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1992431597
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMELISSA POLKCredential: OD
Location Address310 THOMPSON AVEEl Dorado, AR 71730-4569
Mailing Address8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442 · (703) 847-8899 · Fax (571) 223-6780
Phone(870) 862-4216
Fax(870) 862-2423
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 26, 2022
Last NPPES UpdateSeptember 3, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1992431597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AR · 4049
Definition
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.
310 THOMPSON AVE, El Dorado, AR 71730
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melissa Polk Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426431917
PECOS Enrollment IDI20250925004252
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Melissa Polk reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Med Southwest PLLC
Same address
Optometrist
310 THOMPSON AVE
El Dorado, AR 71730
  • Reassigned Medicare billing, Arkansas enrollment
  • 27 clinicians in this Medicare group
NPI 1124588405 (870) 862-4216
William D. Gordon, O.D. Inc.
57 mi
Optometrist
3000 FORSYTHE AVE
Monroe, LA 71201
  • Reassigned Medicare billing, Louisiana enrollment
  • 4 clinicians in this Medicare group
NPI 1407054901 (318) 807-2020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services26 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
30 services30 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
30 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services20 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
25 services24 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71730 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MED SOUTHWEST PLLC
Optometrist
310 THOMPSON AVE
EL DORADO, AR 71730
Union County (870) 862-4216
SIMPSON & PARNELL OD PLLC
Optometrist
310 THOMPSON AVE
EL DORADO, AR 71730
Union County (870) 862-4216
IVORY A. KINSLOW, MDPA
Optometrist
310 THOMPSON AVE
EL DORADO, AR 71730
Union County (870) 862-2340
DR. CAROLINE M CORPUS M.D.
Ophthalmology
310 THOMPSON AVE
EL DORADO, AR 71730
Union County (870) 862-4216
JAMES SCOTT SIMPSON OD
Optometrist
310 THOMPSON AVE
EL DORADO, AR 71730
Union County (870) 862-4216
MICHAEL C ELLER O.D.
Optometrist
310 THOMPSON AVE
EL DORADO, AR 71730
Union County (870) 862-4216
FRANCES LOUISE DAVIS O.D.
Optometrist
310 THOMPSON AVE
EL DORADO, AR 71730
Union County (870) 862-4216
SOUTH ARKANSAS EYE CLINIC PLLC
Specialist
310 THOMPSON AVE
EL DORADO, AR 71730
Union County (870) 862-4216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Polk's NPI number?

The NPI number for Melissa Polk is 1992431597. It was assigned to this individual provider in the NPPES registry on July 26, 2022.

Where is Melissa Polk located?

Melissa Polk practices at 310 Thompson Ave, El Dorado, AR 71730. The listed phone number is (870) 862-4216.

What is Melissa Polk's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Melissa Polk enrolled in Medicare?

Yes. Melissa Polk is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Melissa Polk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Polk reassigns Medicare benefits to 2 organizations: Med Southwest PLLC (El Dorado, AR) and William D. Gordon, O.D. Inc. (Monroe, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melissa Polk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Polk accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 10 other insurers list Melissa Polk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Melissa Polk was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.