Individual provider Active NPI

Mel L Lindauer, O.D.

  • Optometrist
  • Spokane, WA
National Provider Identifier
1275634206
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3047 Issued in WA
Practice address
513 E Hastings Rd Ste C
Spokane, WA 99218-1977
Phone
(509) 328-2632
Fax
(509) 324-2377
NPI assigned
Sep 25, 2006
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 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 3047 WA Primary

Addresses

Primary practice location

513 E Hastings Rd Ste C
Spokane, WA 99218-1977

Mailing address

513 E Hastings Rd Ste C
Spokane, WA 99218-1963
Phone (509) 328-2632

Other identifiers 9

IdentifierTypeStateIssuer
00001001553OtherIDREGENCE BLUE SHIELD OF ID
WANP663YOtherWAMOLINA HEALTHCARE
P00172004OtherWARAILROAD MEDICARE
104021OtherWADEPT LABOR & INDUSTRIES
594582001OtherWAGROUP HEALTH
601486059OtherWAVISION SERVICE PLAN
805164300MedicaidID
2015535MedicaidWA
LI4110OtherWAASURIS NW HEALTH

Other names 1

  • Dr. Melvin L Lindauer II Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20100722000059 WA Practitioner - Optometry 1850281460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optic One Eye Care Centers of Spokane PCGroup PAC ID 6406746015, 2 clinicians

Practice addresses (Care Compare)

1720 N Hamilton St
Spokane, WA 99207-2474
Phone (509) 328-2632

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3047WAMDOptometrist

Organizations & group practices 1

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1275634206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 E HASTINGS RD STE C",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181963",
            "telephone_number": "509-328-2632",
            "fax_number": "509-324-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 E HASTINGS RD STE C",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181977",
            "telephone_number": "509-328-2632",
            "fax_number": "509-324-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDAUER",
        "first_name": "MEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD OF ID",
            "identifier": "00001001553",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTHCARE",
            "identifier": "WANP663Y",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00172004",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT LABOR & INDUSTRIES",
            "identifier": "104021",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "594582001",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN",
            "identifier": "601486059",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805164300",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2015535",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASURIS NW HEALTH",
            "identifier": "LI4110",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELVIN",
            "last_name": "LINDAUER",
            "middle_name": "L",
            "prefix": "DR.",
            "suffix": "II",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.