DR. MARK EDWARD FECHTEL (NPI# 1356338636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356338636 |
| Entity Type | Individual |
| Full Name | DR. MARK EDWARD FECHTEL |
| Credential | O.D. |
| Practice Address |
16968 W Bell Rd Ste 402 Surprise AZ 85374-8943 |
| Mailing Address |
220 N Mckemy Ave Chandler AZ 85226-2654 |
| Practice Telephone | 6232140353 |
| Practice Fax Number | 6232140693 |
| Mailing Telephone | 4809611865 |
| Mailing Fax Number | 4809614605 |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2019-05-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1117 | AZ | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14545 W Grand Ave, Suite 105, Sun City West, AZ 85375 | 6232143848 | 6232143851 |
| Street Address |
16968 W BELL RD STE 402 |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85374-8943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648801 | Jennilyn Joy Puhawan Cave | Emergency Medicine | 14440 W Tierra Buena Ln, Surprise, AZ 85374 | 2020-08-07 |
| 1912538497 | Dental Depot of Surprise, Pllc | Clinic/Center | 13828 W. Greenway Rd., Surprise, AZ 85374 | 2020-02-03 |
| 1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
| 1073155834 | Regency Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W Mountain View Blvd, Surprise, AZ 85374 | 2019-10-14 |
| 1164064929 | Advanced Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W. Mountain View Blvd., Surprise, AZ 85374 | 2019-10-14 |
| 1275005308 | Filsan Ali | Nurse Practitioner | 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 | 2018-12-31 |
| 1427528686 | Anna L Bell | Nurse Practitioner | 14811 W Bell Rd Ste 100, Surprise, AZ 85374 | 2018-11-30 |
| 1649755893 | Surprise Behavioral Hospital Lp | Psychiatric Hospital | 16561 North Parkview Place, Surprise, AZ 85374 | 2018-10-03 |
| 1336621259 | Chaparral Winds LLC | Assisted Living Facility | 16623 N West Point Parkway, Surprise, AZ 85374 | 2018-09-06 |
| 1104310648 | Austin Daniel Lau | Dentist | 17018 W Bell Rd, Surprise, AZ 85374 | 2018-06-19 |
| Find all providers in zip 85374 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497308845 | Brandon Anthony Betts | Optometrist | 13371 W Grand Ave Ste 102, Surprise, AZ 85374-7063 | 2019-07-23 |
| 1215589882 | Paige Renae Blom | Optometrist | 16860 W Waddell Rd Ste 102, Surprise, AZ 85388-9621 | 2019-07-12 |
| 1831417930 | Navrin Dhamani | Optometrist | 13371 W Grand Ave, Surprise, AZ 85374 | 2010-05-13 |
| 1356513766 | Valley Vision Care LLC | Optometrist | 13732 W Bell Rd, Surprise, AZ 85374-3876 | 2008-03-25 |
| 1790725851 | Roger N Grossbard | Optometrist | 14455 W Grand Ave, Suite 102, Surprise, AZ 85374-7196 | 2006-06-07 |
| 1417936014 | Steven R Holt | Optometrist | 15341 W Waddell Rd # 106, Surprise, AZ 85379 | 2006-01-11 |
| 1699764704 | Erik S Ornstein | Optometrist | 15033 W Bell Rd, Suite 150, Surprise, AZ 85374-3217 | 2005-10-20 |
| 1043835069 | Jesse Austin Lam | Optometrist | 13371 W Grand Ave Ste 102, Surprise, AZ 85374-7063 | 2020-06-15 |
| 1700300373 | Jaclyn Johnson | Optometrist | 14239 W Bell Rd Ste 216, Surprise, AZ 85374-2482 | 2017-07-26 |
| 1730637844 | Andre Juarez | Optometrist | 13856 W Waddell Rd, Suite 103, Surprise, AZ 85379-3801 | 2016-09-18 |
| Find all providers in SURPRISE | ||||
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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.