Reuben Severo Mena, OD

Primary specialty

Pediatric OptometristTaxonomy code 152WP0200X

License

OPT.0004043 Issued in CO

Practice address

8890 N Union Blvd Ste 205
Colorado Springs, CO 80920-2702

Phone

(719) 574-1654

NPI assigned

Jun 19, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Optometry

Education

Southern California College of Optometry, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Childrens Eye Center PC

  • Ophthalmology Physician
  • Colorado Springs, CO
  • NPI 1922293760
  Medicare reassignment NPD

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1851076707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 STARBURST CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951271967",
            "telephone_number": "408-644-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8890 N UNION BLVD STE 205",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809202702",
            "telephone_number": "719-574-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENA",
        "first_name": "REUBEN",
        "middle_name": "SEVERO",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-19",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002706",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CO",
            "license": "OPT.0004043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Memorial Health System
• Memorial Hospital
• Memorial Hospital
• Memorial Hospital
• Evelyn Hope Mena, CNS, RXN
• Saundra Mena
• Jamie Rae Mendell, M.A CCC-SLP
• Clarissa Mendez, MSW, LCSW
• Elizabeth Mendez
• Hanna Mendez, M.D.

• Pediatric Optometrist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Pediatric Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.