Active NPI
Jennifer Lynn Mentessi, OD
- Optometrist
- North Royalton, OH
National Provider Identifier
1376645952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5054
- Practice address
- 5690 Wallings Rd
North Royalton, OH 44133-3044 - Phone
- (440) 877-2020
- Fax
- (440) 877-9531
- NPI assigned
- Sep 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5054 | OH | Primary |
Addresses
Primary practice location
5690 Wallings Rd
North Royalton, OH 44133-3044
Mailing address
5690 Wallings Rd
North Royalton, OH 44133-3044
Phone (440) 877-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080108000403 | OH | Practitioner - Optometry | 4981784675 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5690 Wallings Rd
North Royalton, OH 44133-3044
Phone (440) 877-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5054 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Distinctive Eyewear Inc. | Optometrist | Current | Accepting new patients |
Locations
5690 Wallings Rd
North Royalton, OH 44133
Phone (440) 877-2020
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452643200000",
"number": "1376645952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5690 WALLINGS RD",
"city": "NORTH ROYALTON",
"state": "OH",
"postal_code": "441333044",
"telephone_number": "440-877-2020",
"fax_number": "440-877-9531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5690 WALLINGS RD",
"city": "NORTH ROYALTON",
"state": "OH",
"postal_code": "441333044",
"telephone_number": "440-877-2020",
"fax_number": "440-877-9531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENTESSI",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-02",
"last_updated": "2016-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "5054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Royalton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.