Mendoza Optometric Corporation

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

OPT 8150T Issued in NU

Legal business name

MENDOZA OPTOMETRIC CORPORATION

Practice address

2411 E Plaza Blvd
National City, CA 91950-5101

Phone

(619) 475-2184

NPI assigned

May 15, 2008

Last updated

Jan 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raymundo G Mendoza, ODNPI 1306837760

Title

Owner

Phone

(619) 475-2184

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raymundo G Mendoza, OD

  • Optometrist
  • National City, CA
  • NPI 1306837760
  Medicare reassignment NPD Authorized official
• Norman Charles Ratner, O.D.

  • Optometrist
  • San Diego, CA
  • NPI 1811094709
  NPD (past)

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1982871174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 E PLAZA BLVD",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919505101",
            "telephone_number": "619-475-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 E PLAZA BLVD",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919505101",
            "telephone_number": "619-475-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDOZA OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "RAYMUNDO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-475-2184",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NU",
            "license": "OPT 8150T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0081500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ernest Ritualo Mejia, P.A.
• Maria Nenita Mella, DMD
• Alexandra Melton
• Reina Menasche, LCSW
• Erika Consuelo Mendez
• Kimberly Barrion Mendoza
• Paula Michelle Mendoza, FNP
• Raymundo G Mendoza, OD
• Lisa Danielle Mercadel
• Mercury Health, Inc

• Ophthalmologic Surgery Clinic/Center in National City, CA
• Providers in National City, CA by specialty
• Ophthalmologic Surgery Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.