Individual provider Active NPI

Billy Gales Mendoza, O.D.

  • Optometrist
  • Reno, NV
National Provider Identifier
1578874236
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
671 Issued in NV
Practice address
501 Keystone Ave
Reno, NV 89503-4304
Phone
(775) 322-3777
Fax
(775) 376-1116
NPI assigned
Jun 28, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 671 NV Primary

Addresses

Primary practice location

501 Keystone Ave
Reno, NV 89503-4304

Mailing address

PO Box 34032
Reno, NV 89533-4032
Phone (775) 322-3777

Other practice location 1

1050 Hanson St
Winnemucca, NV 89445-2774
Phone (775) 625-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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

Enrollment IDStateProvider typePAC IDDetails
I20101222001026 NV Practitioner - Optometry 8527256171 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
671NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Amy E Sullivan LLC Optometrist CurrentSince Jan 1, 2023 Accepting new patients
Bengoa Eye Care LTD Optometrist PastSince Jan 1, 2023 Accepting new patients

Locations

1050 Hanson St
Winnemucca, NV 89445
Phone (775) 625-3937

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1578874236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34032",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895334032",
            "telephone_number": "775-322-3777",
            "fax_number": "775-376-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 KEYSTONE AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034304",
            "telephone_number": "775-322-3777",
            "fax_number": "775-376-1116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Hanson St",
            "address_purpose": "LOCATION",
            "city": "Winnemucca",
            "state": "NV",
            "postal_code": "894452774",
            "country_code": "US",
            "telephone_number": "775-625-3937",
            "fax_number": "775-625-3938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "BILLY",
        "middle_name": "GALES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.