Individual provider Active NPI

Melynda Rodriguez Hernandez, OD

  • Optometrist
  • Bedford, IN
National Provider Identifier
1770091159
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004079A Issued in IN
Practice address
1311 M St
Bedford, IN 47421-3234
Phone
(812) 675-7925
Fax
(812) 675-7925
NPI assigned
Jan 18, 2018
Last updated
Jan 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004079A IN Primary

Addresses

Primary practice location

1311 M St
Bedford, IN 47421-3234

Mailing address

1311 M St
Bedford, IN 47421-3234
Phone (812) 675-7925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20231030001780 IN Practitioner - Optometry 1658727565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Eye Consultants PCGroup PAC ID 2961399217, 71 clinicians

Practice addresses (Care Compare)

2500 E Market St
Midwest Eye Consultants 3
Logansport, IN 46947-2011
Phone (574) 753-3583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Eye Consultants, P.C. Current Accepting new patients
Midwest Eye Consultants, PC Optometrist CurrentSince Sep 12, 2023 Accepting new patients
Midwest Eye Consultants, P.C. Optometrist CurrentSince Sep 12, 2023 Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients
Midwest Eye Consultants, P.C. Past Accepting new patients
Midwest Eye Consultants P.C. Optometrist Past Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients

Locations

2750 Central Ave
#53
Columbus, IN 47201
Phone (812) 372-4463

2750 Central Ave
Columbus, IN 47201
Phone (812) 372-4463

825 N Lincoln St
#12
Greensburg, IN 47240
Phone (812) 663-7222

1601 W Lincoln Rd
Kokomo, IN 46902
Phone (765) 453-5696

301 J St
#34
Laporte, IN 46350
Phone (219) 362-8923

301 J St
Laporte, IN 46350
Phone (219) 326-9569

2500 E Market St
#3
Logansport, IN 46947
Phone (574) 753-3583

2500 E Market St
Logansport, IN 46947
Phone (574) 722-5252

3510 S Western Ave
Marion, IN 46953
Phone (765) 662-6594

1400 N Baldwin Ave
Marion, IN 46952
Phone (765) 664-6148

2260 Main St
Rochester, IN 46975
Phone (574) 223-3916

620 E 11th St
Rushville, IN 46173
Phone (765) 932-5553

310 S Oak St
Winchester, IN 47394
Phone (765) 584-2020

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1770091159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 M ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213234",
            "telephone_number": "812-675-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 M ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213234",
            "telephone_number": "812-675-7925",
            "fax_number": "812-675-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MELYNDA",
        "middle_name": "RODRIGUEZ",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004079A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, IN

Sources for this page

Verify at the official NPI Registry.