Mike Mendoza III, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5991 Issued in OH

Practice address

1840 Hilliard Rome Rd
Hilliard, OH 43026-7565

Phone

(614) 876-5914

Fax

(614) 876-5080

NPI assigned

May 31, 2005

Sex

Male

Sole proprietor

Yes

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 OH

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

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.

• City of Cincinnati

  • Primary Care Clinic/Center
  • Cincinnati, OH
  • NPI 1831102151
  Medicare reassignment NPD
• City of Cincinnati

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
  • NPI 1043594260
  NPD
• City of Cincinnati

  • Clinic Pharmacy
  • Cincinnati, OH
  • NPI 1477112308
  NPD
• Visionworks, Inc

  • Eyewear Supplier
  • Hilliard, OH
  • NPI 1942624937
  NPD (past)
• Visionworks, Inc

  • Eyewear Supplier
  • Simpsonville, SC
  • NPI 1699571166
  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1619970985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 HILLIARD ROME RD",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267565",
            "telephone_number": "614-876-5914",
            "fax_number": "614-876-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 HILLIARD ROME RD",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267565",
            "telephone_number": "614-876-5914",
            "fax_number": "614-876-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "MIKE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5429T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tressa Ann Mehl, PT, DPT, OCS, CLT-UE
• Sanjay Mehta, MD
• Lisa Renee Meiring, CNS
• Kathleen Elizabeth Meisner, PT
• Melissa Ann Meleski, M.D.
• Lindsay Menigat, PCC
• Rachael Elizabeth Menssen, LISW
• Merliv Holdings, LLC
• Rodney L Merritt
• Brady Austin Mertens, MA LPCC C-DBT

• Optometrist in Hilliard, OH
• Providers in Hilliard, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.