SPECTRA EYE INSTITUTE, LLC (NPI# 1962943118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962943118 |
| Entity Type | Organization |
| Organization Name | SPECTRA EYE INSTITUTE, LLC |
| Practice Address |
15401 N 29th Ave 201 Phoenix AZ 85053-4001 |
| Mailing Address |
9849 W Thunderbird Blvd Sun City AZ 85351-2963 |
| Practice Telephone | 6235832020 |
| Practice Fax Number | 6235832513 |
| Mailing Telephone | 6235832020 |
| Mailing Fax Number | 6235832513 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2018-01-17 |
| Authorized Official Name | JAN AMATOR (CEO) |
| Authorized Official Telephone | 6235832020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities | ||
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS | 544256 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245233923 | Spectra Eye Institute, LLC | Clinic/Center | 9849 W Thunderbird Blvd, Sun City, AZ 85351-2963 | 2005-05-24 |
| Street Address |
15401 N 29TH AVE 201 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85053-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871065615 | Valley Addiction & Mental Health Services LLC | Nurse Practitioner | 16845 N. 29th Ave, Ste 1-211, Phoenix, AZ 85053 | 2018-12-18 |
| 1417439100 | Amanda M Sherwin | Dietitian, Registered | 15640 N 28h Drive, Phoenix, AZ 85053 | 2018-08-30 |
| 1568970135 | Sage Counseling, Inc. | Community/Behavioral Health | 2734 W Bell Rd., #1385 & 1390, Phoenix, AZ 85053 | 2018-01-17 |
| 1366966434 | Penny L Reamer | Registered Nurse | 17624 N. 31st Ave., Phoenix, AZ 85053 | 2017-08-01 |
| 1043749302 | Jacob Stephen Lawrence | Occupational Therapy Assistant | 3116 W. Hartford Dr., Phoenix, AZ 85053 | 2017-06-08 |
| 1770022923 | Horizon Dental Group West Valley | Dentist | 4025 W. Bell Road, Suite 20, Phoenix, AZ 85053 | 2017-02-21 |
| 1235594938 | Linda Thi Trinh | Optometrist | 16020 North 35th Ave Suite #2, Phoenix, AZ 85053 | 2015-12-22 |
| 1003230301 | Continuum Group West, LLC. | Clinic/Center | 3710 W Greenway Rd, Suite 104, Phoenix, AZ 85053 | 2014-02-07 |
| 1831539410 | Michelle Lea Byers | Nurse Practitioner | 17624 North 31st Ave, Phoenix, AZ 85053 | 2013-06-27 |
| 1437446580 | Candace Faith Gershkovich | Dentist | 4235 W. Thunderbird Rd, Phoenix, AZ 85053 | 2011-07-08 |
| Find all providers in zip 85053 | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324956 | Phoenician Eye Specialists | Clinic/Center | 15600 N Black Canyon Hwy # C-102, Phoenix, AZ 85053-4055 | 2020-07-27 |
| 1295280741 | The Cataract Vision Institute LLC | Clinic/Center | 2929 E Camelback Rd, Suite 110, Phoenix, AZ 85016-4424 | 2016-08-24 |
| 1295973931 | Sonoran Desert Vision Center, PC | Clinic/Center | 10255 N 32nd St, Phoenix, AZ 85028-3851 | 2009-02-03 |
| 1013021682 | Phoenix Eye Surgical Center Plc | Clinic/Center | 5133 N Central Ave, Suite 100, Phoenix, AZ 85012-1438 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992051 | Laveen Lasik and Total Eyecare, LLC | Clinic/Center | 7205 S 51st Ave Ste 201, Laveen, AZ 85339-7326 | 2020-11-04 |
| 1588126791 | Wyatt Surgery Center LLC | Clinic/Center | 2424 N Wyatt Dr Ste 160, Tucson, AZ 85712-6115 | 2019-04-05 |
| 1417994831 | Catalina Surgery Center, LLC | Clinic/Center | 7508 N La Cholla Blvd, Tucson, AZ 85741-2307 | 2006-06-02 |
| 1215983135 | Southwestern Eye Center Ltd | Clinic/Center | 1919 Florence Ave, Kingman, AZ 86401-4684 | 2006-05-25 |
| 1013481977 | Arizona Oculofacial Plastic Orbit and Cosmetic Surgery, LLC | Clinic/Center | 1055 S Stapley Dr, Mesa, AZ 85204-5013 | 2019-01-14 |
| 1629524541 | The Cataract Vision Institute LLC | Clinic/Center | 2120 W Ina Rd, Suite 106, Tucson, AZ 85741-2694 | 2016-08-31 |
| 1427402817 | The Lasik Vision Institute LLC | Clinic/Center | 2120 W Ina Rd, Suite 106, Tucson, AZ 85741-2694 | 2016-04-21 |
| 1831354414 | Southwestern Eye Center Ltd | Clinic/Center | 3003 Highway 95, Ste. 63, Bullhead City, AZ 86442-7860 | 2008-07-23 |
| 1205023801 | Amro Habib Od LLC | Clinic/Center | 8280 N Cortaro Rd, Tucson, AZ 85743-9393 | 2007-09-27 |
| 1487845764 | Arizona Institute of Eye Surgery LLC | Clinic/Center | 3192 Willow Creek Rd, Prescott, AZ 86301-6610 | 2007-08-05 |
| Find all providers with the same taxonomy | ||||
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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.