DR. MIKE III MENDOZA (O.D.) – Optometrist, NPI 1619970985

DR. MIKE III MENDOZA (O.D.) is a healthcare provider. based in Hilliard, Ohio. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 5429T (TX). The NPI Number for DR. MIKE III MENDOZA (O.D.) is 1619970985

Main info

Male
Sole Proprietor
Name
DR. MIKE III MENDOZA (O.D.)
NPI
1619970985
Phone
(614) 876-5914
Address
1840 HILLIARD ROME RD
Enumeration Date
31 May 2005
Last Update Date
8 June 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:21State licenses:2Digital endpointsOther names

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Provider Addresses for DR. MIKE III MENDOZA (O.D.)

  • Hilliard-Rome Road, Hilliard, Norwich Township, Franklin County, Ohio, 43026, United States

    HILLIARD, OH 430267565

    Phone: (614) 876-5914

    Fax: (614) 876-5080

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $148.

Total Amount is formed as General ($148) + Research ($0) + Ownership ($0) = $148.

Last reported payment date: 2024-05-02 • Largest payer in this snapshot: Alcon Vision LLC ($148).

Total Amount

$148

General + Research + Ownership

Payments

2

Total payment records

General Amount

$148

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$148
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-06-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160602002350IOptometryOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43026)

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Reviews

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Frequently asked questions

Is there an official ID for DR. MIKE III MENDOZA (O.D.) in U.S. healthcare records?
The official identifier for DR. MIKE III MENDOZA (O.D.) is NPI 1619970985.
Would DR. MIKE III MENDOZA (O.D.) appear as active to a payer?
You can treat DR. MIKE III MENDOZA (O.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. MIKE III MENDOZA (O.D.)?
DR. MIKE III MENDOZA (O.D.) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MIKE III MENDOZA (O.D.)?
Directory geography for DR. MIKE III MENDOZA (O.D.) centers on Hilliard, Ohio.
Can I trust this NPI listing for DR. MIKE III MENDOZA (O.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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