DR. MELISSA C GRAY (OD) – Optometrist, NPI 1790424935

DR. MELISSA C GRAY (OD) is a healthcare provider. based in Vienna, Virginia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPC6129 (FL). The NPI Number for DR. MELISSA C GRAY (OD) is 1790424935

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. MELISSA C GRAY (OD)
NPI
1790424935
Phone
(703) 847-8899
Address
8614 WESTWOOD CENTER DR FL 9
Enumeration Date
3 June 2022
Last Update Date
15 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9544767631
Graduation Year
2022 (4 years ago)
PAC ID
9739560665
Group Practice PAC ID
8224194121
Professional Enrollment ID
I20220722001742
Address ID
FL333241038PL823XXRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for DR. MELISSA C GRAY (OD)

  • 8614 WESTWOOD CENTER DR FL 9

    VIENNA, VA 221822442

    Phone: (703) 847-8899

    Fax: (571) 223-6780

    Type: Mailing

  • 6850 MIRAMAR PKWY

    MIRAMAR, FL 330236003

    Phone: (000) 000-0000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $3,020.

Total Amount is formed as General ($3,020) + Research ($0) + Ownership ($0) = $3,020.

Last reported payment date: 2024-07-18 • Largest payer in this snapshot: CooperVision Inc. ($1,832).

Total Amount

$3,020

General + Research + Ownership

Payments

29

Total payment records

General Amount

$3,020

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-07-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220722001742IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22182)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224194121View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P T O M E T R YFL

Reviews

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Frequently asked questions

Can I verify DR. MELISSA C GRAY (OD) with an NPI only?
You can start verification with NPI 1790424935 for DR. MELISSA C GRAY (OD), then check state licensing separately.
Is DR. MELISSA C GRAY (OD) listed as active for patients and plans?
The listing shows DR. MELISSA C GRAY (OD) as active in the NPI system.
What taxonomy line describes DR. MELISSA C GRAY (OD)?
For research purposes, treat DR. MELISSA C GRAY (OD) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. MELISSA C GRAY (OD) list a practice location?
Patients near Vienna, Virginia may find DR. MELISSA C GRAY (OD) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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