Active NPI
Dr Saul Mendelsohn Optometrist a Professional Corp
- Optometrist
- Fresno, CA
National Provider Identifier
1841464658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4968T
- Legal business name
- DR SAUL MENDELSOHN OPTOMETRIST A PROFESSIONAL CORP
- Practice address
- 5478 N Palm Ave
Fresno, CA 93704-1940 - Phone
- (559) 447-4990
- Fax
- (559) 447-4994
- NPI assigned
- Apr 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Freddie D Martinez
- Title
- Employee
- Phone
- (808) 285-0084
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4968T | CA | Primary |
Addresses
Primary practice location
5478 N Palm Ave
Fresno, CA 93704-1940
Mailing address
5478 N Palm Ave
Fresno, CA 93704-1940
Phone (559) 447-4990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0049680 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
5478 N Palm Ave
Fresno, CA 93704
Phone (559) 447-4990
2333 W Whitendale Ave
Visalia, CA 93277
Phone (559) 733-7700
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Fresno, CA
- NPI 1831713791
-
- Optometrist
- Fresno, CA
- NPI 1689708448
-
- Optometrist
- Bellevue, WA
- NPI 1154758894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442275200000",
"number": "1841464658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5478 N PALM AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937041940",
"telephone_number": "559-447-4990",
"fax_number": "559-447-4994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5478 N PALM AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937041940",
"telephone_number": "559-447-4990",
"fax_number": "559-447-4994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR SAUL MENDELSOHN OPTOMETRIST A PROFESSIONAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-14",
"last_updated": "2015-09-15",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "FREDDIE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "EMPLOYEE",
"authorized_official_telephone_number": "808-285-0084",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "4968T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0049680",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.