Carlos Jose Mesa, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 2677 Issued in FL

Practice address

8425 NW 13TH Ter
Sam's Club Optical
Doral, FL 33126-1509

Phone

(305) 463-7886

Fax

(305) 463-0529

NPI assigned

Feb 18, 2008

Last updated

Feb 18, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203292800000",
    "number": "1720256373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8425 NW 13TH TER",
            "address_2": "SAM'S CLUB OPTICAL",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261509",
            "telephone_number": "305-463-7886",
            "fax_number": "305-463-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8425 NW 13TH TER",
            "address_2": "SAM'S CLUB OPTICAL",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261509",
            "telephone_number": "305-463-7886",
            "fax_number": "305-463-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESA",
        "first_name": "CARLOS",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 2677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Mercado
• Mercy's Health Inc.
• Merino Services Corp
• Maria Virginia Merrill Facio, LMHC
• Irina Mesa Wilson, BS
• Catalina Mesa
• Jennifer Mesa
• Jennifer Maria Mesa
• Marlen Mesa, RBT-19-94552
• Yamilet Mesa

• Optometrist in Doral, FL
• Providers in Doral, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.