ARIZONA PEDIATRIC EYE SPECIALISTS, PLC (NPI# 1477573913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477573913 |
| Entity Type | Organization |
| Organization Name | ARIZONA PEDIATRIC EYE SPECIALISTS, PLC |
| Practice Address |
1520 S Dobson Rd Ste 202 Mesa AZ 85202-4726 |
| Mailing Address |
Po Box 16455 Mesa AZ 85211-6455 |
| Practice Telephone | 4808350709 |
| Practice Fax Number | 4809620523 |
| Mailing Telephone | 4808350709 |
| Mailing Fax Number | 4809620523 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2012-10-10 |
| Authorized Official Name | DIANE M VON FLUE (CFO) |
| Authorized Official Telephone | 4806152070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| Street Address |
1520 S DOBSON RD STE 202 |
| City | MESA |
| State | AZ |
| Zip Code | 85202-4726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891241964 | Arizona Retina Associates, Pllc | Ophthalmology | 6262 E Broadway Rd Ste 106, Mesa, AZ 85206-6101 | 2016-08-29 |
| 1982834834 | Jared David Peterson | Ophthalmology | 220 S 63rd Street, Swagel-wootton-hiatt Eye Center, Mesa, AZ 85206 | 2009-07-24 |
| 1902829799 | Matthew Hammond I | Ophthalmology | 1500 S Dobson Rd Ste 313, Mesa, AZ 85202-4752 | 2006-07-25 |
| 1942232798 | Robert C Spurny Sr. | Ophthalmology | 6402 E Superstition Springs Blvd Ste 104, Mesa, AZ 85206-4391 | 2006-07-06 |
| 1063480119 | Craig R Cassidy | Ophthalmology | 160 W University, Suite 1, Mesa, AZ 85201 | 2006-03-14 |
| 1013985274 | Valley Eye Specialists P L C | Ophthalmology | 160 W University Dr, Ste 1, Mesa, AZ 85201-5833 | 2006-03-14 |
| 1851364814 | John M Lewis | Ophthalmology | 4760 E Falcon Dr Ste 101, Mesa, AZ 85215-2528 | 2006-02-09 |
| 1730169608 | Grant W Heinz | Ophthalmology | 6007 E Baseline Rd Ste 101, Mesa, AZ 85206-4801 | 2006-01-18 |
| 1104819804 | Michael A Pachtman | Ophthalmology | 1220 S Higley Rd Ste 106, Mesa, AZ 85206-4001 | 2005-08-26 |
| 1154313989 | Yuri F Mckee | Ophthalmology | 5620 E Broadway Rd, Mesa, AZ 85206-1438 | 2005-08-18 |
| Find all providers in MESA | ||||
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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.