Raymundo G Mendoza, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 8150T Issued in CA

Practice address

2411 E Plaza Blvd
National City Eyecare
National City, CA 91950-5101

Phone

(619) 475-2184

Fax

(619) 475-3917

NPI assigned

Nov 3, 2005

Last updated

Jun 30, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mendoza Optometric Corporation

  • Ophthalmologic Surgery Clinic/Center
  • National City, CA
  • NPI 1982871174
  Medicare reassignment NPD Authorized official
• Home Care Administrative Services LLC

  • Optometrist
  • National City, CA
  • NPI 1184965931
  NPD (past)

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1306837760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 E PLAZA BLVD",
            "address_2": "NATIONAL CITY EYECARE",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919505101",
            "telephone_number": "619-475-2184",
            "fax_number": "619-475-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 E PLAZA BLVD",
            "address_2": "NATIONAL CITY EYECARE",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919505101",
            "telephone_number": "619-475-2184",
            "fax_number": "619-475-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "RAYMUNDO",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 8150T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0081500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reina Menasche, LCSW
• Erika Consuelo Mendez
• Mendoza Optometric Corporation
• Kimberly Barrion Mendoza
• Paula Michelle Mendoza, FNP
• Lisa Danielle Mercadel
• Mercury Health, Inc
• Roderick Messinger
• Amelia Ailema Meza
• Erika Grecia Meza

• Optometrist in National City, CA
• Providers in National City, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.