CLEMENCE MENDOZA OD
NPI 1043880057
Optometrist in Issaquah, WA

Q: What is Clemence Mendoza's NPI number?

The NPI number for Clemence Mendoza is 1043880057. It was assigned to this individual provider in the NPPES registry on June 30, 2021.

Q: What is Clemence Mendoza's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Clemence Mendoza was last updated on July 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 30, 2021PECOS EnrolledAccepts Medicare Assignment

100 NE GILMAN BLVD, ISSAQUAH, WA 98027(425) 557-8000 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 28, 2023, Jul 22, 2021, Jun 30, 2021 (3 updates tracked since 2021).

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About Clemence Mendoza Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEMENCE MENDOZA OD (NPI 1043880057) is an individual optometrist in Issaquah, Washington, licensed in Washington (OD61181803) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Virginia Mason Medical Center, and is a graduate of Pacific University - College Of Optometry (2021).

NPPES Registry Identity

NPI1043880057

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameCLEMENCE MENDOZACredential: OD

Location Address100 NE GILMAN BLVDIssaquah, WA 98027-2925

Mailing AddressPo Box 741515Los Angeles, CA 90074-1515 · (206) 515-5811

Phone(425) 557-8000

Sole ProprietorYes

Medical School CMSPacific University - College Of OptometryGraduated 2021

Enumeration DateJune 30, 2021

Last NPPES UpdateJuly 28, 20233 updates tracked since enumeration

NPPES CertifiedJuly 28, 2023

✔ NPI 1043880057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in WA · OD61181803✔ Licensed in OR · ATI4567

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

100 NE GILMAN BLVD, Issaquah, WA 98027

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Clemence Mendoza Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577939412

PECOS Enrollment IDI20221018003528

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

277 services230 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

148 services142 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

115 services115 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

59 services59 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

34 services34 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

22 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Virginia Mason Medical Center

Acute Care Hospitals · Seattle, WA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500005

Location925 Seneca StSeattle, WA 98101 · King County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$143.76 typical visit price

range $63.67 – $189.37

Typical copayment $35.94 (range $15.91 – $47.34)

Most-billed visit code 99204

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALICE J. KIM M.D.

Internal Medicine