Individual provider Active NPI

Michelle Meza, OD

  • Optometrist
  • Merced, CA
National Provider Identifier
1093482960
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34928 Issued in CA
Practice address
1445 R St
Merced, CA 95340-5850
Phone
(209) 726-8116
NPI assigned
Aug 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34928 CA Primary

Addresses

Primary practice location

1445 R St
Merced, CA 95340-5850

Mailing address

2377 S Creekside Dr
Los Banos, CA 93635-9493
Phone (408) 807-5245

Other practice location 1

2270 Clovis Ave
Clovis, CA 93612-3915
Phone (559) 712-7878

Other practice location 2

4500 W Shaw Ave
Fresno, CA 93722-6200
Phone (559) 776-1919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34928CAMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1093482960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2377 S CREEKSIDE DR",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936359493",
            "telephone_number": "408-807-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 R ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953405850",
            "telephone_number": "209-726-8116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2270 Clovis Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936123915",
            "country_code": "US",
            "telephone_number": "559-712-7878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 W Shaw Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937226200",
            "country_code": "US",
            "telephone_number": "559-776-1919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEZA",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.