Martin James Melendrez, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT8805T Issued in CA

Practice address

1103 Highland Ave
Manhattan Beach, CA 90266-5310

Phone

(310) 376-8975

Fax

(310) 376-4828

NPI assigned

May 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

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

Southern California College of Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Beach Cities Optometry, Inc.

  • Optometrist
  • Manhattan Beach, CA
  • NPI 1023082690
  Medicare reassignment NPD

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1609820596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 HIGHLAND AVE",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665310",
            "telephone_number": "310-376-8975",
            "fax_number": "310-376-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 HIGHLAND AVE",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665310",
            "telephone_number": "310-376-8975",
            "fax_number": "310-376-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDREZ",
        "first_name": "MARTIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT8805T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "WOP8805B",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ID NUMBER",
            "identifier": "WY162",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medx Inc
• Sylvia Ann Mehl, PT, OCS
• Mehta & Aiyer, Inc.
• Alana Micaela Meixner, LCSW
• Amy Melchor
• Melissa Grant Dental Corporation
• Michael U Mercado, MD
• Wayman D. Merrill III, MD
• Monique Merritt Romick
• Erica Mondro Meyer, PSY.D.

• Optometrist in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.