MEDICARE: DR. MELVILLE H ROCKOFF O,D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	1766TG	TX
2	152WC0802X	Corneal and Contact Management Optometrist	1766TG	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	11340642	OTHER	TX	CAQH
3	301100878	OTHER	TX	DEPT OF PUBLIC SAFETY
4	741952944	OTHER	TX	FED TAX ID
5	1629034160	OTHER	TX	NPI#

General Provider Information

NPI Number	:	1629034160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELVILLE H ROCKOFF O,D.

Provider Business Mailing Address
First Line	:	2421B W HOLCOMBE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1901
Country	:	US
Telephone Number	:	713-665-3500
Fax Number	:	713-665-5333

Provider Business Practice Location Address
First Line	:	2421B W HOLCOMBE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1901
Country	:	US
Telephone Number	:	713-665-3500
Fax Number	:	713-665-5333

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	03/07/2023

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Directions to “ DR. MELVILLE H ROCKOFF O,D.” Practice Location

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