Jess Eric Mendenhall, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7070612-9934 Issued in UT

Practice address

482 S Main St
Spanish Fork, UT 84660-2410

Phone

(801) 504-6448

Fax

(801) 504-6239

NPI assigned

Oct 21, 2008

Last updated

Dec 8, 2014By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in UT

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• UT PPO D-SNP
• UT PPO

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.

• Precision Vision PLLC

  • Optometrist
  • Spanish Fork, UT
  • NPI 1326461807
  Medicare reassignment Authorized official
• Advantage Eye Care , P. C.

  dba Advantage Eye Care

  • Clinic/Center
  • Orem, UT
  • NPI 1891870002
  NPD (past)
• Advantage Eye Care , P. C.

  dba Advantage Eye Care

  • Clinic/Center
  • Midvale, UT
  • NPI 1932284130
  NPD (past)
• Eye Physicians of Utah

  • Optometrist
  • Orem, UT
  • NPI 1184917502
  NPD (past)

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1225280423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E 1600 S",
            "city": "MAPLETON",
            "state": "UT",
            "postal_code": "846645204",
            "telephone_number": "520-678-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 S MAIN ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602410",
            "telephone_number": "801-504-6448",
            "fax_number": "801-504-6239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDENHALL",
        "first_name": "JESS",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "7070612-9934",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "7070612-8908",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12457053",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225280423",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meds in Motion, LLC
• Nathaniel Richard Medsker, BCBA
• Anthony Mejia
• Daniel Armando Melendez, CMHC
• Joey Mena
• Mental Health Ratliff LLC
• Taylor Michelsen
• Sophie Mickelsen, ACMHC
• Tiffany Millar
• Joshua Miller

• Optometrist in Spanish Fork, UT
• Providers in Spanish Fork, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.