Provider Demographics
NPI:1629034160
Name:ROCKOFF, MELVILLE H (O,D)
Entity Type:Individual
Prefix:DR
First Name:MELVILLE
Middle Name:H
Last Name:ROCKOFF
Suffix:
Gender:M
Credentials:O,D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2421B W HOLCOMBE BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1901
Mailing Address - Country:US
Mailing Address - Phone:713-665-3500
Mailing Address - Fax:713-665-5333
Practice Address - Street 1:2421B W HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1901
Practice Address - Country:US
Practice Address - Phone:713-665-3500
Practice Address - Fax:713-665-5333
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-25
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1766TG152W00000X, 152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX019589301Medicaid
TX11340642OtherCAQH
TX301100878OtherDEPT OF PUBLIC SAFETY
TX741952944OtherFED TAX ID
TX1629034160OtherNPI#
TXMR1112729OtherDEA
TX11340642OtherCAQH
TXT91288Medicare UPIN