Eye Medical Clinic of Fresno, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE MEDICAL CLINIC OF FRESNO, INC.

Doing business as

Eye Medical Center of Fresno

Practice address

1360 E Herndon Ave
Suite 301
Fresno, CA 93720-3326

Phone

(559) 486-5000

NPI assigned

Nov 6, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Richard Noel Mendoza, M.D.

Title

President

Phone

(559) 486-5000

Specialties & licenses 1

Addresses

Other names 1

• Eye Medical Center of Fresno Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Eye Medical Center of Fresno2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eye Medical Clinic of Fresno, in.C

  • Optometrist
  • Fresno, CA
  • NPI 1124458906
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Stanley Gaede, OD

  • Optometrist
  • Fresno, CA
  • NPI 1447275326
  NPD (past)
• John Joseph Kinney, OD

  • Optometrist
  • Fresno, CA
  • NPI 1407872344
  NPD (past)
• Susan Diane Mencarini, OD

  • Optometrist
  • Clovis, CA
  • NPI 1871519710
  NPD (past)
• Prabhjot Kaur Saini, O.D.

  • Optometrist
  • Fresno, CA
  • NPI 1184084147
  NPD (past)
• Desiree Sison, O.D.

  • Optometrist
  • Fresno, CA
  • NPI 1720535412
  NPD (past)

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1750710034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E HERNDON AVE",
            "address_2": "SUITE 301",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203326",
            "telephone_number": "559-486-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 E HERNDON AVE",
            "address_2": "SUITE 301",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203326",
            "telephone_number": "559-486-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE MEDICAL CLINIC OF FRESNO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-486-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Medical Center of Fresno",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tammy Ann Exum, LMFT
• Eye and Vision Central California Inc
• Eye Medical Clinic of Fresno, in.C
• Eye Medical Clinic of Fresno, Inc
• Eye Medical Clinic of Fresno, Inc.
• Eyemart Express LLC
• Eyemart Express LTD
• Joyce Yayoi Ezaki-Yamaguchi, R.D.
• Uzoma Dmitri Ezeuko
• Brenda F Magana

• Optometrist in Fresno, CA
• Providers in Fresno, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.