Jason Porter Merrell, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-002328 Issued in AZ

Practice address

1606 S Signal Butte Rd
Mesa, AZ 85209-1482

Phone

(480) 358-9737

NPI assigned

Jun 14, 2017

Sex

Male

Sole proprietor

No

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 AZ

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

Other, 2017

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jason Merrell OD PLLC

  • Optometrist
  • Mesa, AZ
  • NPI 1124783378
  Medicare reassignment NPD Authorized official
• Darren Elg, O D LLC

  • Optometrist
  • Queen Creek, AZ
  • NPI 1407097413
  NPD (past)
• Kirk T Reed O D P C

  • Optometrist
  • Queen Creek, AZ
  • NPI 1750522876
  NPD (past)
• Eyecare Center Idaho Falls LLC

  • Optometrist
  • Idaho Falls, ID
  • NPI 1568262111
  NPD (past)

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1861922601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 E LUNA BLANCA WAY",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851408466",
            "telephone_number": "208-390-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 S SIGNAL BUTTE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852091482",
            "telephone_number": "480-358-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRELL",
        "first_name": "JASON",
        "middle_name": "PORTER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002328",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100409",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ava Mergen
• Landon Merkley
• Lorin Christopher Merkley, C.P.
• Richard Lorin Merkley, M.D.
• Emanuela P Merkt, MS, RD
• Merrill Ranch Dental Company, P.C. (Merrill Ranch Family Dental)
• Benjamin Merrill, DO
• Bobbi Lou Merrill, BS CLINICIAN ASSOC I
• Chad Fredrick Merrill, D.D.S.
• Clayton Robert Merrill, PT, DPT

• Optometrist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.