DR. MIKE MENDOZA III O.D.
NPI 1619970985
Optometrist in Hilliard, OH

Q: What is Mike Mendoza's NPI number?

The NPI number for Mike Mendoza is 1619970985. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Q: What is Mike 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 Mike Mendoza was last updated on June 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 May 31, 2005PECOS Enrolled

1840 HILLIARD ROME RD, HILLIARD, OH 43026(614) 876-5914(614) 876-5080 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Mike Mendoza Iii O.d. NPPES

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

DR. MIKE MENDOZA III O.D. (NPI 1619970985) is an individual optometrist in Hilliard, Ohio, licensed in Ohio (5991) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619970985

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. MIKE MENDOZA IIICredential: O.D.

Location Address1840 HILLIARD ROME RDHilliard, OH 43026-7565

Mailing Address1840 Hilliard Rome RdHilliard, OH 43026-7565 · (614) 876-5914 · Fax (614) 876-5080

Phone(614) 876-5914

Fax(614) 876-5080

Sole ProprietorYes

Enumeration DateMay 31, 2005

Last NPPES UpdateJune 8, 2015

✔ NPI 1619970985 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 OH · 5991✔ Licensed in TX · 5429T

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.

1840 HILLIARD ROME RD, Hilliard, OH 43026

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Other Identifiers 1

Medicare UPINU82928TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mike Mendoza Iii O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Mike Mendoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

City Of Cincinnati

88 mi

Primary Care

5818 MADISON RD, BRAXTON F CANN MEMORIAL MEDICAL CENTER
Cincinnati, OH 45227

Reassigned Medicare billing, Ohio enrollment
49 clinicians in this Medicare group

NPI 1770598492 (513) 271-6089

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43026 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES

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

VISIONWORKS, INC

Eyewear Supplier

1840 HILLIARD ROME RD
HILLIARD, OH 43026

Franklin County (614) 876-5025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mike Mendoza's NPI number?

The NPI number for Mike Mendoza is 1619970985. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Mike Mendoza located?

Mike Mendoza practices at 1840 Hilliard Rome Rd, Hilliard, OH 43026. The listed phone number is (614) 876-5914.

What is Mike Mendoza's specialty?

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

Is Mike Mendoza enrolled in Medicare?

Yes. Mike Mendoza is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mike Mendoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mike Mendoza reassigns Medicare benefits to City Of Cincinnati (Cincinnati, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mike Mendoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mike Mendoza accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 8 other insurers list Mike Mendoza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mike Mendoza was last updated on June 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.