Active NPI
Mengli Han, O.D.
- Optometrist
- Berkeley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 33433
- Practice address
- 230 Minor Hall
Berkeley, CA 94720 - Phone
- (510) 642-2020
- NPI assigned
- Aug 10, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 33433 | CA | Primary |
Addresses
Primary practice location
230 Minor Hall
Berkeley, CA 94720
Mailing address
200 Minor Hall
Berkeley, CA 94702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
10 Lincoln SQ
Worcester, MA 01608-1135
Phone (508) 373-5830
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5250 | MA | MD | Mental Health Counselor |
| 33433 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward M. Kennedy Community Health Center, Inc | Current | Accepting new patients | |
| McPhs University | Optometrist | Current | Accepting new patients |
| Edward M. Kennedy Community Health Center, Inc | Current | Accepting new patients | |
| Leominster Family Eyecare PLLC | Optometrist | Past | Accepting new patients |
| Edward M. Kennedy Community Health Center, Inc | Past | Accepting new patients |
Locations
354 Waverley St
Framingham, MA 01702
Phone (508) 270-5700
41 Cape Rd
Milford, MA 01757
Phone (508) 270-5750
10 Lincoln Sq
Worcester, MA 01608
Phone (508) 373-5607
605 Lincoln St
Worcester, MA 01605
Phone (508) 856-0104
10 Lincoln Sq
Rm 112G
Worcester, MA 01608
19 Tacoma St
Worcester, MA 01605
Phone (508) 854-2122
650 Lincoln St
Worcester, MA 01605
Phone (508) 532-7318
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Worcester, MA
- NPI 1609842152
-
- Federally Qualified Health Center (FQHC)
- Worcester, MA
- NPI 1316324650
-
- Federally Qualified Health Center (FQHC)
- Milford, MA
- NPI 1992137426
-
- Optometrist
- Leominster, MA
- NPI 1891342457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470787200000",
"number": "1861946576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MINOR HALL",
"city": "BERKELEY",
"state": "CA",
"postal_code": "94702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 MINOR HALL",
"city": "BERKELEY",
"state": "CA",
"postal_code": "94720",
"telephone_number": "510-642-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "MENGLI",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-10",
"last_updated": "2016-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "33433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.