CHAD A CARLSSON (NPI# 1508853904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508853904 |
| Entity Type | Individual |
| Full Name | CHAD A CARLSSON |
| Credential | OD |
| Practice Address |
3592 S Atherton Blvd Ste 111 Gilbert AZ 85297 |
| Mailing Address |
Po Box 1351 Higley AZ 85236-1351 |
| Practice Telephone | 4809884131 |
| Practice Fax Number | 4809884252 |
| Mailing Telephone | 4809884131 |
| Mailing Fax Number | 4809884252 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2007-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1350 | AZ | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 876435 | 05 | |
| AZ | BCBSAZ PROVIDER # | AZ0905291 | 01 |
| Street Address |
3592 S ATHERTON BLVD STE 111 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710359658 | Sv Gilbert, LLC | Dentist | 3592 S Atherton Blvd, Suite 107, Gilbert, AZ 85297-7443 | 2015-10-29 |
| 1780955716 | Carmichael Pediatric Dentistry | Dentist | 3592 S Atherton Blvd, Ste #107, Gilbert, AZ 85297-7443 | 2012-01-23 |
| 1346554508 | James Danforth Martin | Physical Therapist | 3592 S Atherton Blvd, Gilbert, AZ 85297-7443 | 2010-07-29 |
| 1497993521 | Taylor Hughes Seare | Dentist | 3592 S Atherton Blvd, Ste#107, Gilbert, AZ 85297-7443 | 2009-01-27 |
| 1821259763 | Reyna Lynn Cuellar | Pediatrics | 3592 S Atherton Blvd, #101, Gilbert, AZ 85297-7443 | 2008-06-23 |
| 1770758765 | San Tan Ranch Smiles LLC | Dentist | 3592 S Atherton Blvd, Suite 112, Gilbert, AZ 85297-7443 | 2008-04-29 |
| 1043352412 | Lonny D Carmichael | Dentist | 3592 S Atherton Blvd, Suite 107, Gilbert, AZ 85297-7443 | 2007-02-13 |
| 1083763668 | Ryan Joseph Porter | Dentist | 3592 S Atherton Blvd, #112, Gilbert, AZ 85297-7443 | 2007-01-10 |
| 1811920382 | Carlsson Family Eye Center Pllc | Optometrist | 3592 S Atherton Blvd, Suite 111, Gilbert, AZ 85297 | 2006-07-08 |
| 1346219078 | Andrea Lyn Demets | Pediatrics | 3592 S Atherton Blvd, Ste 1, Gilbert, AZ 85297 | 2006-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592357 | Center for Orthopedic Research and Education LLC | Durable Medical Equipment & Medical Supplies | 3597 South Mercy Rd, Ste 200, Gilbert, AZ 85297 | 2020-09-10 |
| 1508483827 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3271 East Queen Creek, Bldg 2, Suite 101-p, Gilbert, AZ 85297 | 2020-07-02 |
| 1225653074 | Sigma Health and Wellness LLC | Nurse Practitioner | 3317 S. Higley Road, Ste 114-757, Gilbert, AZ 85297 | 2020-06-08 |
| 1750928727 | Emily Paige Stott | Specialist/Technologist | 4141 E Sidewinder Ct, Gilbert, AZ 85297 | 2019-12-09 |
| 1386280436 | Ocotillo Surgery Center LLC | Clinic/Center | 3920 S Rome Street, Gilbert, AZ 85297 | 2019-11-25 |
| 1366094930 | Psa Behavioral Health Agency | Community/Behavioral Health | 3271 E. Queen Creek Road, Ste. 105, 110, 111, Gilbert, AZ 85297 | 2019-07-12 |
| 1508337213 | Orthopedic Specialists of North America Pllc | Physical Therapist | 1675 E Melrose Street, Suites 101-103, Gilbert, AZ 85297 | 2018-12-07 |
| 1346766698 | Charles Stanley Bailey | Optometrist | 3098 E. Waterman Way, Gilbert, AZ 85297 | 2017-08-18 |
| 1982155503 | Sheli K Jensen | Marriage & Family Therapist | 7400 S. Power Road, Suite 116, Gilbert, AZ 85297 | 2016-10-19 |
| 1407302763 | Kelly Jo Plencner-vega | Advanced Practice Midwife | 3815 S Val Vista Dr, Gilbert, Az, Gilbert, AZ 85297 | 2016-08-28 |
| Find all providers in zip 85297 | ||||
| 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 |
|---|---|---|---|---|
| 1902445604 | Mvp.vision | Optometrist | 1780 E Boston St Ste 101, Gilbert, AZ 85295-6246 | 2019-12-27 |
| 1750946463 | National Vision Inc | Optometrist | 2649 S Market St Ste 101, Gilbert, AZ 85295-1301 | 2019-05-08 |
| 1740795368 | West Point Optical Group | Optometrist | 2475 S Val Vista Dr Ste C, Gilbert, AZ 85295-2149 | 2017-12-05 |
| 1346766698 | Charles Stanley Bailey | Optometrist | 3098 E. Waterman Way, Gilbert, AZ 85297 | 2017-08-18 |
| 1881117711 | Jeevan Sandhu | Optometrist | 1672 E Guadalupe Rd Ste 111, Gilbert, AZ 85234-8167 | 2017-07-23 |
| 1467980904 | Joseph Lewis Brewer | Optometrist | 2676 S Tucana Ct, Gilbert, AZ 85295-1450 | 2017-05-29 |
| 1457703191 | Matthew Fierro | Optometrist | 2156 E Williams Field Rd Ste 104, Gilbert, AZ 85295-0733 | 2016-07-06 |
| 1255754438 | David Diaz | Optometrist | 2156 E. Williams Field Rd., #104, Gilbert, AZ 85296 | 2014-01-24 |
| 1437586005 | Eyedeology Vision Center Pllc | Optometrist | 690 E Warner Rd Ste 128, Gilbert, AZ 85296-3057 | 2013-09-27 |
| 1588948616 | Visionary Eyecare PC | Optometrist | 2894 E Waterman Ct, Gilbert, AZ 85297-7610 | 2011-10-07 |
| Find all providers in GILBERT | ||||
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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.