Active NPI
Amanda Estella Mendez Roberts, O.D.
- Optometrist
- Tucson, AZ
National Provider Identifier
1548324486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1461
- Practice address
- 3601 S 6TH Ave
Tucson, AZ 85723-0001 - Phone
- (520) 792-1450
- NPI assigned
- Dec 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Low Vision Rehabilitation Optometrist | 152WL0500X | 1461 | AZ | |
| Optometrist | 152W00000X | 1461 | AZ | Primary |
Addresses
Primary practice location
3601 S 6TH Ave
Tucson, AZ 85723-0001
Mailing address
3601 S 6TH Ave
Tucson, AZ 85723-0001
Phone (520) 792-1450
Other practice location 1
7395 S Houghton Rd
Suite 129
Tucson, AZ 85747-3304
Phone (520) 792-1450 ext. 3428
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1461 | Other | AZ | ARIZONA STATE BOARD OF OPTOMETRY |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Eye Care Associates PC | Past | Accepting new patients | |
| Sean J. McCafferty, MD, PC | Past | Accepting new patients | |
| Christopher M Seniw MD PC | Past | Accepting new patients | |
| Vista Eye Care, PLC | Optometrist | Past | Accepting new patients |
| Catalina Eye Care PC | Past | Accepting new patients | |
| Virginia Eye Consultants Inc | Optometrist | Past | Accepting new patients |
| Cornea Associates, PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 7
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.
-
- Eyewear Supplier
- Tucson, AZ
- NPI 1134427164
-
- Ophthalmology Physician
- Tucson, AZ
- NPI 1124091996
-
- Ophthalmology Physician
- Tucson, AZ
- NPI 1164516522
-
- Ophthalmology Physician
- Tucson, AZ
- NPI 1316146574
-
- Ophthalmology Physician
- Henrico, VA
- NPI 1568571065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1548324486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 S 6TH AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857230001",
"telephone_number": "520-792-1450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 S 6TH AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857230001",
"telephone_number": "520-792-1450"
}
],
"practiceLocations": [
{
"address_1": "7395 S Houghton Rd",
"address_2": "Suite 129",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857473304",
"country_code": "US",
"telephone_number": "520-792-1450 x3428",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDEZ ROBERTS",
"first_name": "AMANDA",
"middle_name": "ESTELLA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "AZ",
"license": "1461",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "1461",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA STATE BOARD OF OPTOMETRY",
"identifier": "1461",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.