Active NPI
Robert Melendez, RSLD
- Optician
- Lakewood, CA
National Provider Identifier
1497319933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 6580
- Practice address
- 4909 Paramount Blvd
Lakewood, CA 90712-2903 - Phone
- (562) 295-4733
- Fax
- (562) 272-6603
- NPI assigned
- Apr 30, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 6580 | CA | Primary |
Addresses
Primary practice location
4909 Paramount Blvd
Lakewood, CA 90712-2903
Mailing address
11605 N Lamar Blvd
Austin, TX 78753-2658
Phone (737) 222-6996
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1497319933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11605 N LAMAR BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787532658",
"telephone_number": "737-222-6996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4909 PARAMOUNT BLVD",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907122903",
"telephone_number": "562-295-4733",
"fax_number": "562-272-6603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELENDEZ",
"first_name": "ROBERT",
"credential": "RSLD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-30",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CA",
"license": "6580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.