Individual provider Active NPI

Scott B Mendell, O.D.

  • Optometrist
  • Norman, OK
National Provider Identifier
1245543446
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2662 Issued in OK
Practice address
630 24TH Ave SW
Norman, OK 73069-3913
Phone
(405) 701-0500
Fax
(405) 701-0600
NPI assigned
Jul 16, 2010
Last updated
Jul 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2662 OK Primary

Addresses

Primary practice location

630 24TH Ave SW
Norman, OK 73069-3913

Mailing address

630 24TH Ave SW
Norman, OK 73069-3913
Phone (405) 701-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20110722000353 OK Practitioner - Optometry 7315121878 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pauls Valley Eye Clinic PLLCGroup PAC ID 2062675432, 2 clinicians

Practice addresses (Care Compare)

1811 W Grant Ave
Pauls Valley, OK 73075-9202
Phone (405) 238-6459

Merit-based Incentive Payment System (MIPS)

Final score
40 of 100Reported as individual
Quality
80
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Purcell Eye Clinic Optometrist CurrentSince Jan 31, 2017 Accepting new patients
Pauls Valley Eye Clinic PLLC Optometrist CurrentSince May 1, 2012 Accepting new patients
Eye Doctors of Oklahoma Inc PastSince May 1, 2012 Accepting new patients

Locations

1811 W Grant Ave
Pauls Valley, OK 73075
Phone (405) 238-6459

1711 N Green Ave
Purcell, OK 73080
Phone (405) 527-2020

Organizations & group practices 4

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": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1245543446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 24TH AVE SW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730693913",
            "telephone_number": "405-701-0500",
            "fax_number": "405-701-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 24TH AVE SW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730693913",
            "telephone_number": "405-701-0500",
            "fax_number": "405-701-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDELL",
        "first_name": "SCOTT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.