Individual provider Active NPI

Susan Diane Mencarini, OD

  • Optometrist
  • Clovis, CA
National Provider Identifier
1871519710
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9050T Issued in CA
Practice address
145 N Clovis Ave
Suite 101
Clovis, CA 93612-0361
Phone
(559) 298-2120
Fax
(559) 299-3741
NPI assigned
Jul 14, 2006
Last updated
Apr 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9050T CA Primary

Addresses

Primary practice location

145 N Clovis Ave
Suite 101
Clovis, CA 93612-0361

Mailing address

145 N Clovis Ave
Suite 101
Clovis, CA 93612-0361
Phone (559) 298-2120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20060217000702 CA Practitioner - Optometry 1658386230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Medical Clinic of Fresno IncGroup PAC ID 1355381740, 15 clinicians

Practice addresses (Care Compare)

1122 S St
Suite 101
Fresno, CA 93721-1430
Phone 55948650002822

Merit-based Incentive Payment System (MIPS)

Final score
89.23 of 100Reported as group
Quality
79.8
Promoting interoperability
80
Improvement activities
40
Cost
87.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9050TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Medical Clinic of Fresno, Inc CurrentSince Jan 1, 2005 Accepting new patients
Eye Medical Clinic of Fresno, Inc. CurrentSince Jan 1, 2005 Accepting new patients
Susan D Mencarini & Jay a Newsome Optometrist PastSince Jan 1, 1990 Accepting new patients
Eye Medical Clinic of Fresno, Inc. Optometrist Past Accepting new patients

Locations

1122 S St
Ste 101
Fresno, CA 93721
Phone (559) 486-5000

1360 E Herndon Ave
Ste 301
Fresno, CA 93720
Phone (559) 449-5060

Interoperability endpoints

  • Direct secure messaging: susan.mencarini.p1@direct.californiaeye.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1871519710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 N CLOVIS AVE",
            "address_2": "SUITE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120361",
            "telephone_number": "559-298-2120",
            "fax_number": "559-299-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N CLOVIS AVE",
            "address_2": "SUITE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120361",
            "telephone_number": "559-298-2120",
            "fax_number": "559-299-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENCARINI",
        "first_name": "SUSAN",
        "middle_name": "DIANE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9050T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.