Active NPI
Amanda B Mendias, LDO
- Optician
- Gilbert, AZ
National Provider Identifier
1386424166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- LDO-003108
- Practice address
- 2501 S Market St
Gilbert, AZ 85295-1300 - Phone
- (480) 224-6917
- NPI assigned
- Sep 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | LDO-003108 | AZ | Primary |
Addresses
Primary practice location
2501 S Market St
Gilbert, AZ 85295-1300
Mailing address
2501 S Market St
Gilbert, AZ 85295-1300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDO-003108 | AZ | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1386424166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 S MARKET ST",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852951300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 S MARKET ST",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852951300",
"telephone_number": "480-224-6917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDIAS",
"first_name": "AMANDA",
"middle_name": "B",
"credential": "LDO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-29",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "AZ",
"license": "LDO-003108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.