Myra N Mendoza, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT12839 Issued in IA

Practice address

2020 Philadelphia St
Ames, IA 50010-8772

Phone

(515) 663-4800

Fax

(515) 232-3532

NPI assigned

Oct 4, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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 California - School of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Broadlawns Medical CenterGroup PAC ID 3678466166, 302 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Broadlawns Medical Center Hospital, Des Moines, IA, CCN 160101

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmendoza@wolfe.intellechartdirect.net

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.

• Broadlawns Medical Center

  • General Acute Care Hospital
  • Des Moines, IA
  • NPI 1467447508
  Medicare reassignment Care Compare group
• Wolfe Clinic Inc

  • Ophthalmology Physician
  • Marshalltown, IA
  • NPI 1477532174
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Broadlawns Medical Center

  • General Acute Care Hospital
  • Des Moines, IA
  • NPI 1467447508
  Care Compare affiliation

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1235126376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E CHURCH ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582946",
            "telephone_number": "641-754-6262",
            "fax_number": "641-754-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 PHILADELPHIA ST",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500108772",
            "telephone_number": "515-663-4800",
            "fax_number": "515-232-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "MYRA",
        "middle_name": "N",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "OPT12839",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02361",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Mehmen, LMT
• Mary Meier, ATC
• Ryan Meis, PT, DPT
• Amy Mekemson
• Bradley Alan Melhus, D.D.S.
• Maura Elizabeth Mendus, APRN, CNP
• Lucille Menssen
• Joseph James Merchant, M.D.
• Hope Metheny
• Rebecca Jo Metzger, D.D.S.

• Optometrist in Ames, IA
• Providers in Ames, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.