Individual provider Active NPI

Tamara Mendez Romero, O.D.

  • Optometrist
  • Chevy Chase, MD
National Provider Identifier
1225413503
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2476 Issued in MD
Practice address
8401 Connecticut Ave Ste 102
Chevy Chase, MD 20815-5820
Phone
(301) 242-3927
NPI assigned
Jul 28, 2015
Last updated
Jun 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 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 TA2476 MD Primary

Addresses

Primary practice location

8401 Connecticut Ave Ste 102
Chevy Chase, MD 20815-5820

Mailing address

8401 Connecticut Ave Ste 102
Chevy Chase, MD 20815-5820
Phone (301) 242-3927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20161024001086 DC Practitioner - Optometry 5395055016 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8401 Connecticut Ave
Suite 102
Chevy Chase, MD 20815-5820
Phone (240) 626-3461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Farhad Naseh MD PA CurrentSince Aug 1, 2016 Accepting new patients
Tamara Mendez OD LLC Optometrist CurrentSince Aug 25, 2020 Accepting new patients
Nova Southeastern University, Inc Past Accepting new patients

Locations

8401 Connecticut Ave
Ofc
Chevy Chase, MD 20815
Phone (240) 626-3461

8401 Connecticut Ave
Ste 102
Chevy Chase, MD 20815
Phone (240) 470-1518

6 Montgomery Village Ave
Ste 103
Gaithersburg, MD 20879
Phone (301) 840-2208

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1225413503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 CONNECTICUT AVE STE 102",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208155820",
            "telephone_number": "301-242-3927",
            "fax_number": "954-262-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 CONNECTICUT AVE STE 102",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208155820",
            "telephone_number": "301-242-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ ROMERO",
        "first_name": "TAMARA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.