Kimberly Ann Menza, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.010251 Issued in IL

Practice address

701 S Ridgewood Ave
Daytona Beach, FL 32114-5331

Phone

(386) 253-5999

Fax

(386) 258-3973

NPI assigned

Jun 30, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Coastal Eye Associates Inc

  • Optometrist
  • Deland, FL
  • NPI 1356511281
  NPD (past)
• Vision One Inc

  • Optometrist
  • Port Orange, FL
  • NPI 1467538272
  NPD (past)
• Vision One Inc

  • Optometrist
  • Daytona Beach, FL
  • NPI 1952314346
  NPD (past)

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1386872174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S RIDGEWOOD AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145331",
            "telephone_number": "386-253-5999",
            "fax_number": "386-258-3973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S RIDGEWOOD AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145331",
            "telephone_number": "386-253-5999",
            "fax_number": "386-258-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENZA",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Memorial Health Systems Inc.
• Milton Mendez, MD
• Mendoza Behavioral Health LLC
• Gerolyn Ivette Meneses
• Kari Menhennett
• Juan Jose Mercado, M.D.
• Matthew M Merrell, MD
• Janet Mesri, MD
• Heather Messick
• Valerie Karen Messina, ANP

• Optometrist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.