Organization Active NPI

Dr Saul Mendelsohn Optometrist a Professional Corp

  • Optometrist
  • Fresno, CA
National Provider Identifier
1841464658
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4968T Issued in CA
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

Updated by the provider on Sep 15, 2015

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
SD0049680MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.