Leonard J Mendez, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 771 TA Issued in ME

Practice address

567 Elm St
Biddeford, ME 04005-4324

Phone

(207) 283-4440

NPI assigned

Jul 12, 2006

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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: leonard.mendez.1@16216.direct.athenahealth.com

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1770518177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 ELM ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040054324",
            "telephone_number": "207-283-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 ELM ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040054324",
            "telephone_number": "207-283-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "LEONARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT 771 TA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0532073-002ME",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1042298",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161400000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "12155",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan E McMinis, M.A CCC-SLP
• Donald Rodgers McNally III, D.O.
• Kelcy Frye McNamara, TCTSY-F
• Paul Meadows, M.D.
• Alejandro Mejia, P.A.
• Katherine F. Meredith, LCPC
• Michael A. Merriam, M.D.
• Michael J Quigley MD PA
• Lynn M Michienzi, RDH
• Vassily Mihailoff, MD

• Optometrist in Biddeford, ME
• Providers in Biddeford, ME by specialty
• Optometrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.