Organization Active NPI

Laura Mendiola, MD, PLLC

Doing business as Eye Care of Laredo

  • Ophthalmology Physician
  • Laredo, TX
National Provider Identifier
1336540970
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
N9744 Issued in TX
Legal business name
LAURA MENDIOLA, MD, PLLC
Doing business as
Eye Care of Laredo
Practice address
1119 Fenwick Drive
Suite 101
Laredo, TX 78041-2971
Phone
(214) 417-1350
Fax
(888) 872-3909
NPI assigned
Sep 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
Dr. Laura Leticia Mendiola, M.D.NPI 1467629667
Title
Ophthalmologist / Owner
Phone
(214) 417-1350

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X N9744 TX Primary

Addresses

Primary practice location

1119 Fenwick Drive
Suite 101
Laredo, TX 78041-2971

Mailing address

1119 Fenwick Drive
Suite 101
Laredo, TX 78041-2971
Phone (214) 417-1350

Other practice location 1

6999 McPherson Rd
Suite 216
Laredo, TX 78041-6449
Phone (214) 417-1350

Other identifiers 1

IdentifierTypeStateIssuer
286628701MedicaidTX

Other names 1

  • Eye Care of Laredo Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mendiola@drlauramendiola.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141106001939 TX Part B Supplier - Clinic/Group Practice 6800018821 Receives reassigned benefits from 2 practitioners
Practice locations: Laredo, TX

National Provider Directory

National Provider Directory

Locations

1119 Fenwick Dr
Ste 101
Laredo, TX 78041
Phone (214) 417-1350

Interoperability endpoints

  • Direct secure messaging: mendiola@drlauramendiola.emadirect.md

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1336540970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 FENWICK DRIVE",
            "address_2": "SUITE 101",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412971",
            "telephone_number": "214-417-1350",
            "fax_number": "888-872-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 FENWICK DRIVE",
            "address_2": "SUITE 101",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412971",
            "telephone_number": "214-417-1350",
            "fax_number": "888-872-3909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6999 McPherson Rd",
            "address_2": "Suite 216",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780416449",
            "country_code": "US",
            "telephone_number": "214-417-1350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAURA MENDIOLA, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "MENDIOLA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "LETICIA",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST / OWNER",
        "authorized_official_telephone_number": "214-417-1350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "N9744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286628701",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mendiola@drlauramendiola.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "EMA Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1119 Fenwick Drive",
            "address_2": "Suite 101",
            "city": "Laredo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780412971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Eye Care of Laredo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye Care of Laredo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.