Michael A Mendicino, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000833 Issued in PA

Practice address

1145 Bower Hill Rd
Suite 205
Pittsburgh, PA 15243-1800

Phone

(412) 572-6121

Fax

(412) 571-1327

NPI assigned

Jun 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Glaucoma-Cataract Consultants IncGroup PAC ID 6204808207, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Glaucoma-Cataract Consultants, Inc.

  • Ophthalmology Physician
  • Pittsburgh, PA
  • NPI 1235173097

  Optometrist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1386680155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 BOWER HILL RD",
            "address_2": "SUITE 205",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431342",
            "telephone_number": "412-572-6121",
            "fax_number": "412-571-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 BOWER HILL RD",
            "address_2": "SUITE 205",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431800",
            "telephone_number": "412-572-6121",
            "fax_number": "412-571-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDICINO",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018518300002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410045262",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "2082328",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "139745",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen A Mendelson
• Chase Douglas Mendenhall, PHD, PA-C
• Paola Sofia Mendez Ruiz, MD
• Timothy Mendez
• Jonathan Mendia, D.M.D.
• Mending Hands LLC
• Brittney Nicole Mendiola, MS, LPC
• Brenda Mendizabal
• Marissa Imee Mendoza-Burcham, PH.D., N.C.S.P.
• Diana Cecilia Mendoza-Cervantes

• Optometrist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.
• 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.

Verify at the official NPI Registry.