SWAGEL-WOOTTON EYE CENTER, INC (NPI# 1063484459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063484459 |
Entity Type | Organization |
Organization Name | SWAGEL-WOOTTON EYE CENTER, INC |
Other Organization Name | SWAGEL-WOOTTON EYE INSTITUTE |
Practice Address |
220 S 63rd St Mesa AZ 85206-1619 |
Mailing Address |
3900 E Mexico Ave Ste 102 Denver CO 80210-3941 |
Practice Telephone | 4806413937 |
Practice Fax Number | 4809245072 |
Mailing Telephone | 3038002078 |
Mailing Fax Number | 3038002078 |
Enumeration Date | 2006-02-02 |
Last Update Date | 2020-08-20 |
Authorized Official Name | CHRISTIAN ELLISON (CEO) |
Authorized Official Telephone | 7202737449 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | AZ | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Hiatt Eye Center | Doing Business As Name - Organization |
Swagel Wootton Eye Center | Doing Business As Name - Organization |
Swagel Wootton Eye Institute | Doing Business As Name - Organization |
Swagel-Wootton Eye Institute | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
3940 S Alma School Rd Ste 3, Chandler, AZ 852484513 | 4807866086 | 4807863956 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245321058 | Swagel-wootton Eye Center, Inc | Eyewear Supplier (Equipment, not the service) | 3940 S Alma School Rd Ste A2, Chandler, AZ 85248-4513 | 2006-09-27 |
1659343648 | Swagel-wootton Eye Center, Inc | Clinic/Center | 220 S 63rd St, Mesa, AZ 85206-1619 | 2006-02-03 |
Street Address |
220 S 63RD ST |
City | MESA |
State | AZ |
Zip Code | 85206-1619 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881673150 | Amy Crump | Optometrist | 220 S 63rd St, Mesa, AZ 85206-1619 | 2006-01-13 |
1215214606 | Janice Pierce | Optometrist | 220 S 63rd St, Mesa, AZ 85206-1619 | 2011-11-14 |
1881719540 | Renee Christine Hanson | Optometrist | 220 S 63rd St, Mesa, AZ 85206-1619 | 2007-03-20 |
1225195506 | Loan Ramsey | Ophthalmology | 220 S 63rd St, Mesa, AZ 85206-1619 | 2007-01-03 |
1639255037 | James Curtis Grubbs | Nurse Anesthetist, Certified Registered | 220 S 63rd St, Mesa, AZ 85206-1619 | 2006-10-27 |
1295749091 | Swagel-wootton Eye Center, Inc | Eyewear Supplier (Equipment, not the service) | 220 S 63rd St, Mesa, AZ 85206-1619 | 2006-07-28 |
1659343648 | Swagel-wootton Eye Center, Inc | Clinic/Center | 220 S 63rd St, Mesa, AZ 85206-1619 | 2006-02-03 |
1780656975 | Daniel T Mcgehee | Optometrist | 220 S 63rd St, Mesa, AZ 85206-1619 | 2006-02-02 |
1558333740 | Wendy Wootton | Ophthalmology | 220 S 63rd St, Mesa, AZ 85206-1619 | 2006-02-02 |
1467424655 | James A Hiatt | Ophthalmology | 220 S 63rd St, Mesa, AZ 85206-1619 | 2006-02-02 |
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1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
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Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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1750768446 | Beth Furman, Do, LLC | Clinic/Center | 3035 S Ellsworth, Suite #103, Mesa, AZ 85212 | 2015-05-01 |
1053798793 | The Source Naturopathic Medical Clinic | Clinic/Center | 1932 N Mesa Dr Unit 9, Mesa, AZ 85201-1622 | 2015-05-01 |
1679973358 | Performance Therapies Plus LLC | Clinic/Center | 2855 E Brown Rd Ste 20, Mesa, AZ 85213-4216 | 2014-08-29 |
1750641403 | Banner Health Clinic | Clinic/Center | 1432 S Dobson Rd Ste 402, Mesa, AZ 85202-4777 | 2012-05-29 |
1659650844 | Us Medgroup Pa | Clinic/Center | 1710 W Southern, Mesa, AZ 85202 | 2011-08-05 |
1790950988 | Cigna Healthcare of Arizona, Inc. | Clinic/Center | 5735 E Mckellips Rd, Suite 101, Mesa, AZ 85215-2875 | 2008-04-28 |
1942481379 | Clouse Chiropractic Clinic LLC | Clinic/Center | 437 S Gilbert Rd Ste 14, Mesa, AZ 85204-2866 | 2007-11-14 |
1467453019 | Advanced Cardiac Specialists, Chartered | Clinic/Center | 515 N Mesa Dr, Ste. 100, Mesa, AZ 85201-5914 | 2005-08-04 |
1831737303 | Repower Medical Clinic, LLC | Clinic/Center | 7254 E Southern Ave Ste 113, Mesa, AZ 85209-2787 | 2019-12-16 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.