Michael Meneakis, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

307 Issued in NM

Practice address

612 N Paseo de Onate
Ste C
Espanola, NM 87532-2963

Phone

(505) 753-7355

Fax

(505) 753-7533

NPI assigned

Aug 2, 2006

Last updated

Jan 19, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Houston - College of Optometry, 1982

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DRS McCloskey and Meneakis

  • Optometrist
  • Espanola, NM
  • NPI 1255720983
  Authorized official Same address or phone
• Optometrics PC

  • Corneal and Contact Management Optometrist
  • Espanola, NM
  • NPI 1679011191
  Authorized official Same address or phone
• Santa Clara Health Center

  • General Acute Care Hospital
  • Espanola, NM
  • NPI 1043396377
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421625600000",
    "number": "1093722894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 N PASEO DE ONATE",
            "address_2": "STE C",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322963",
            "telephone_number": "505-753-7355",
            "fax_number": "505-753-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N PASEO DE ONATE",
            "address_2": "STE C",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322963",
            "telephone_number": "505-753-7355",
            "fax_number": "505-753-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENEAKIS",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2015-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elijah Meason
• Kyla Mae Medina, CCSS
• Meditelecare of New Mexico, LLC
• Aspen M Meleski, BMS
• Yvette Mendonca, CCSS
• Valerie Merl, MD
• Michael S. Redman, D.M.D., P.C.
• Christine Miller, LMHC
• Crystal Miller
• Rajan K Mirchandani, MD

• Optometrist in Espanola, NM
• Providers in Espanola, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.