Ervin Mendlovitz, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4128T Issued in TX

Practice address

3209 Wurzbach Rd
San Antonio, TX 78238-4002

Phone

(210) 520-6548

NPI assigned

Aug 13, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in TX

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

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291420800000",
    "number": "1386656460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 CEDAR KNOLL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782552205",
            "telephone_number": "210-520-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 WURZBACH RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782384002",
            "telephone_number": "210-520-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDLOVITZ",
        "first_name": "ERVIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2010-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4128T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136484602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "TXB110849",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Mae Mendiola
• Nazario Gabriel Mendiola, REGISTERED NURSE
• Patricia Marie Mendiola, DDS
• Stephenie Mendiola
• Victor Ramon Mendiola, MD
• Vibeke Mendonca, LCSW
• Alicia Patricia Mendoza-Bonewits
• Lorena Mendoza-Gibson, LPC
• Geneve Ann Mendoza-Olguin, FNP
• Albert Benjamin Mendoza

• Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2010; 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.