Individual provider Active NPI

Calogera Leonarda Mendola, OD

  • Optometrist
  • Buffalo, NY
National Provider Identifier
1235223066
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006452-1 Issued in NY
Practice address
924 Kenmore Ave
Buffalo, NY 14216
Phone
(716) 876-2020
Fax
(716) 876-3261
NPI assigned
Oct 3, 2006
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001225 VA
Optometrist 152W00000X TUV006452-1 NY Primary

Addresses

Primary practice location

924 Kenmore Ave
Buffalo, NY 14216

Mailing address

924 Kenmore Ave
Buffalo Ny, NY 14216
Phone (716) 896-8831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070824000598 NY Practitioner - Optometry 6709978422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenmore Eye Care IncGroup PAC ID 5890754774, 2 clinicians

Practice addresses (Care Compare)

924 Kenmore Ave
Buffalo, NY 14216-1451
Phone (716) 876-2020

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
100
Promoting interoperability
77
Improvement activities
40
Cost
77.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV006452-1NYMDOptometrist
0618001225VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Park Sher Optical Co of Buffalo Ny Inc Optometrist CurrentSince Feb 1, 2024 Accepting new patients
Kenmore Eye Care Inc. Optometrist CurrentSince May 1, 2024 Accepting new patients
Kenmore Eyecare Inc. Optometrist CurrentSince May 1, 2024 Accepting new patients
Park Sher Optical Co of Buffalo Ny Inc Optometrist CurrentSince Feb 1, 2024 Accepting new patients
Park Sher Optical Co of Buffalo Ny Inc Optometrist CurrentSince Feb 1, 2024 Accepting new patients
Park Sher Optical Co of Buffalo Ny Inc Optometrist Current Accepting new patients

Locations

606 N French Rd
Ste 7
Amherst, NY 14228
Phone (716) 688-8127

280 Delaware Ave
Buffalo, NY 14202
Phone (716) 854-1620

924 Kenmore Ave
Buffalo, NY 14216
Phone (716) 876-2020

3035 Genesee St
Ste 5
Cheektowaga, NY 14225
Phone (716) 896-3351

6624 Lincoln Ave
Lockport, NY 14094
Phone (716) 433-8235

Organizations & group practices 6

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1235223066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 KENMORE AVE",
            "city": "BUFFALO NY",
            "state": "NY",
            "postal_code": "14216",
            "telephone_number": "716-896-8831",
            "fax_number": "716-896-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 KENMORE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14216",
            "telephone_number": "716-876-2020",
            "fax_number": "716-876-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOLA",
        "first_name": "CALOGERA",
        "middle_name": "LEONARDA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001225",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006452-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.