Joel Mendoza Dizon, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OL-026 Issued in GU

Practice address

548 S Marine Corps Dr
Tamuning, GU 96913-3539

Phone

(671) 646-5825

Fax

(671) 647-3556

NPI assigned

Jul 11, 2012

Sex

Male

Sole proprietor

No

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 WA, TX2 enrollments

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 2

Specialty

Optometry

Education

Pacific University - College of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optometric Associates of Texas P.a.Group PAC ID 8527041326, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joel.dizon@direct.revolutionehr.com

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

• Optometric Associates of Texas P.a.

  • Optometrist
  • Arlington, TX
  • NPI 1043222888
  Medicare reassignment Care Compare group NPD
• Dizon Vision Care

  • Optometrist
  • Vancouver, WA
  • NPI 1427562362
  NPD Authorized official
• Pacific Eye Group, PC

  • Optometrist
  • Bend, OR
  • NPI 1831656925

  WA

  Medicare reassignment
• Lena Barghouti-Afranji & Associates Professional Corp

  • Optometrist
  • Vancouver, WA
  • NPI 1184752198
  NPD

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1124383484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6578",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969316578",
            "telephone_number": "671-646-6956",
            "fax_number": "671-647-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 S MARINE CORPS DR",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133539",
            "telephone_number": "671-646-5825",
            "fax_number": "671-647-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIZON",
        "first_name": "JOEL",
        "middle_name": "MENDOZA",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GU",
            "license": "OL-026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Grace Delos Reyes, M.A., L.P.C.
• Joseleo R. Delos Reyes, PTA
• Albert Joseph Dimalanta, D.C., C.N.S.
• Rowena Quinto Dimla
• Cathleen A. Distor, CNM
• Dina D Domalanta-Villaluna, MD
• Daniel B. Domaoal, CCC-SLP
• Dr. Horinouchi Wellness Clinic
• Dr. Ruben P Arafiles, PC
• Gabriella Ann Delgado Duenas, PHARMD

• All providers in Tamuning, GU
• Optometrist in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.