Active NPI
Tamara Mendez OD LLC
- Optometrist
- Chevy Chase, MD
National Provider Identifier
1508488123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- TAMARA MENDEZ OD LLC
- Practice address
- 8401 Connecticut Ave Ste 102
Chevy Chase, MD 20815-5820 - Phone
- (240) 626-3461
- NPI assigned
- May 18, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tamara Mendez, OD
- Title
- Optometrist / Owner
- Phone
- (240) 626-3461
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
8401 Connecticut Ave Ste 102
Chevy Chase, MD 20815-5820
Mailing address
12400 Park Potomac Ave Apt 404
Potomac, MD 20854-6987
Phone (240) 626-3461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200715001479 | DC | Part B Supplier - Clinic/Group Practice | 1254754849 |
Receives reassigned benefits from 1 practitioner Practice locations: Chevy Chase, MD |
National Provider Directory
National Provider DirectoryLocations
8401 Connecticut Ave
Ofc
Chevy Chase, MD 20815
Phone (240) 626-3461
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589760000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589760000000",
"number": "1508488123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12400 PARK POTOMAC AVE APT 404",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208546987",
"telephone_number": "240-626-3461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 CONNECTICUT AVE STE 102",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208155820",
"telephone_number": "240-626-3461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAMARA MENDEZ OD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-18",
"last_updated": "2020-05-18",
"certification_date": "2020-05-18",
"status": "A",
"authorized_official_last_name": "MENDEZ",
"authorized_official_first_name": "TAMARA",
"authorized_official_title_or_position": "OPTOMETRIST / OWNER",
"authorized_official_telephone_number": "240-626-3461",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.