Individual provider Active NPI

Moshe Mendelson, O.D.

  • Optometrist
  • Sunnyvale, CA
National Provider Identifier
1366443277
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT9629T Issued in CA
Practice address
1010 W Fremont Ave
Suite #200
Sunnyvale, CA 94087-3000
Phone
(408) 739-6200
Fax
(408) 739-2439
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT9629T CA Primary

Addresses

Primary practice location

1010 W Fremont Ave
Suite #200
Sunnyvale, CA 94087-3000

Mailing address

1010 W Fremont Ave
Suite #200
Sunnyvale, CA 94087-3000
Phone (408) 739-6200

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040610001364 CA Practitioner - Optometry 3375535065 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mendelson and Mark Optometric CorporationGroup PAC ID 0244607562, 8 clinicians

Practice addresses (Care Compare)

1010 W Fremont Ave
Suite 200
Sunnyvale, CA 94087-3019
Phone 4087396200120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9629CAMDMental Health Counselor
OPT9629TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Amplify Optometry of California PC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Mendelson & Mark Optometric Corporation Optometrist CurrentSince Sep 1, 2022 Accepting new patients
Amplify Physicians of California PC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Amplify Physicians of California PC CurrentSince Jul 1, 2024 Accepting new patients
Silicon Valley Eye Physicians CurrentSince Jul 30, 1991 Accepting new patients
El Camino Hospital Past Accepting new patients
Jwang Medical Group, Inc. PastSince Oct 13, 2006 Accepting new patients

Locations

1010 W Fremont Ave
Ste 200
Sunnyvale, CA 94087
Phone (408) 739-6200

1010 W Fremont Ave
Sunnyvale, CA 94087
Phone (408) 739-6200

1010 W Fremont Ave
Ste 400
Sunnyvale, CA 94087

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1366443277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W FREMONT AVE",
            "address_2": "SUITE #200",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873000",
            "telephone_number": "408-739-6200",
            "fax_number": "408-739-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W FREMONT AVE",
            "address_2": "SUITE #200",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873000",
            "telephone_number": "408-739-6200",
            "fax_number": "408-739-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDELSON",
        "first_name": "MOSHE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT9629T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

Verify at the official NPI Registry.