Marlon Danilo Mendoza, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

009637 Issued in NY

Practice address

225 S 4TH St
Brooklyn, NY 11211-8693

Phone

(718) 384-4700

NPI assigned

Sep 14, 2021

Last updated

Jan 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

University of California - School of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Plaza Optical Centre, Inc

  • Eyewear Supplier
  • Brooklyn, NY
  • NPI 1104002088
  Medicare reassignment
• Ancona Eyecare Inc

  • Optometrist
  • Brooklyn, NY
  • NPI 1700011681
  NPD (past)
• Steven T Klein OD & Kimberly Plattner OD a Professional Corporation

  dba Total Vision Care Advanced Optometry

  • Optometrist
  • San Diego, CA
  • NPI 1861529703
  NPD (past)

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1578233359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 TARA HILLS DR",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642739",
            "telephone_number": "510-260-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S 4TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112118693",
            "telephone_number": "718-384-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1071 Tara Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Pinole",
            "state": "CA",
            "postal_code": "945642739",
            "country_code": "US",
            "telephone_number": "510-260-3026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "687 Sweetwater Rd",
            "address_purpose": "LOCATION",
            "city": "Spring Valley",
            "state": "CA",
            "postal_code": "919775628",
            "country_code": "US",
            "telephone_number": "619-466-9444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "MARLON",
        "middle_name": "DANILO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009637",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34896",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Nicte-Ha Mendoza, PA-C
• Gregory Mendoza, LCSW
• Harvey Galido Mendoza
• Itzelt Mendoza
• Leonel Ontiveros Mendoza
• Rowena Mendoza, PA
• Tara Mendoza
• Victoria Mendoza
• Andrea Angelo Mene', PTA
• Francesca Menelas

• Optometrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.