PHOENIX OPHTHALMOLOGY ASC LLC (NPI# 1760454557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760454557 |
| Entity Type | Organization |
| Organization Name | PHOENIX OPHTHALMOLOGY ASC LLC |
| Other Organization Name | ARIZONA OPHTHALMIC OUTPATIENT SURGERY |
| Practice Address |
300 E Osborn Rd Suite 102 Phoenix AZ 85012-2347 |
| Practice Telephone | 6022348478 |
| Practice Fax Number | 6022348492 |
| Mailing Telephone | 6022348478 |
| Mailing Fax Number | 6022348492 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2013-04-17 |
| Authorized Official Name | MR. PHILLIP A CLENDENIN (PRESIDENT) |
| Authorized Official Telephone | 6156651283 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
OSC0082 | AZ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Arizona Ophthalmic Outpatient Surgery | Doing Business As Name - Organization |
| Street Address |
300 E OSBORN RD SUITE 102 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012-2347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265426951 | Leslie A Kanda | Ophthalmology | 300 E Osborn Rd, #203, Phoenix, AZ 85012-2347 | 2005-09-08 |
| 1477924231 | Buena Vista Optical | Eyewear Supplier (Equipment, not the service) | 300 E Osborn Rd, Suite 100, Phoenix, AZ 85012-2325 | 2015-10-19 |
| 1225386923 | Kelly Andrew Indovina | Optometrist | 300 E Osborn Rd, Suite 100, Phoenix, AZ 85012-2325 | 2012-08-28 |
| 1548567522 | Medical &surgical Eye Specialists Ltd | Ophthalmology | 300 E Osborn Rd, 203, Phoenix, AZ 85012-2325 | 2011-02-28 |
| 1316278161 | Associated Ophthalmologist | Ophthalmology | 300 E Osborn Rd, #100, Phoenix, AZ 85012 | 2010-01-19 |
| 1790969210 | Robert Brems Md PC | Specialist | 300 E Osborn Rd, 100, Phoenix, AZ 85012-2347 | 2007-12-19 |
| 1063535284 | Buena Vista Opthalmologists, P.C. | Ophthalmology | 300 E Osborn Rd, 203, Phoenix, AZ 85012-2347 | 2007-04-10 |
| 1881748424 | James R Meador, Jr | Specialist | 300 E Osborn Rd, Suite 203, Phoenix, AZ 85012-2347 | 2007-01-22 |
| 1821156977 | Dana Bates | Optometrist | 300 E Osborn Rd, #100, Phoenix, AZ 85012 | 2006-12-04 |
| 1205926623 | Robert Nettleship Brems | Ophthalmology | 300 E Osborn Rd, 100, Phoenix, AZ 85012 | 2006-10-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
| Find all providers in zip 85012 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 1336756592 | Pinnacle Asc LLC | Clinic/Center | 3329 E Bell Rd # A2-a5, Phoenix, AZ 85032-2756 | 2020-09-30 |
| 1053927210 | Gila River Surgical Center LLC | Clinic/Center | 2340 W Parkside Ln Ste H107, Phoenix, AZ 85027-1274 | 2020-09-22 |
| 1013539709 | Bsc Biltmore LLC | Clinic/Center | 2222 E Highland Ave Ste 100, Phoenix, AZ 85016-4874 | 2020-05-15 |
| 1275198673 | Urology Asc- Phoenix, LLC | Clinic/Center | 1313 E Osborn Rd Ste 170b, Phoenix, AZ 85014-5678 | 2019-05-01 |
| 1053974592 | Maryvale Facility Group LLC | Clinic/Center | 7141 W Thomas Rd Ste 102, Phoenix, AZ 85033-5518 | 2019-04-19 |
| 1831669522 | Cureteck Pain Center | Clinic/Center | 702 E Bell Rd Ste 103, Phoenix, AZ 85022-6648 | 2018-11-26 |
| 1194292730 | North Valley Pain Center Pllc | Clinic/Center | 15650 N Black Canyon Hwy # B121, Phoenix, AZ 85053-4064 | 2018-11-01 |
| 1578058897 | Uptown Surgery Center, LLC | Clinic/Center | 5133 N Central Ave Ste 200, Phoenix, AZ 85012-1438 | 2018-06-28 |
| 1083104186 | Valley Surgical Center LLC | Clinic/Center | 15601 N 28th Ave Ste 101, Phoenix, AZ 85053-4061 | 2018-05-14 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
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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.