EYE DOCTORS OF ARIZONA PLLC (NPI# 1982268298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982268298 |
| Entity Type | Organization |
| Organization Name | EYE DOCTORS OF ARIZONA PLLC |
| Practice Address |
515 W Buckeye Rd Ste 104 Phoenix AZ 85003-3699 |
| Practice Telephone | 6022578280 |
| Practice Fax Number | 6022577007 |
| Mailing Telephone | 6022578280 |
| Mailing Fax Number | 6022577007 |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-04-23 |
| Authorized Official Name | MR. BENJAMIN L HELLER (MEMBER) |
| Authorized Official Telephone | 6022578280 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | Y |
| Parent Organization Name | EYE DOCTORS OF ARIZONA PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 422367 | 05 |
| Street Address |
515 W BUCKEYE RD STE 104 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85003-3699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346655099 | Benjamin Heller | Family Medicine | 515 W Buckeye Rd Ste 104, Phoenix, AZ 85003 | 2014-06-20 |
| 1326663865 | Randy David Wolfe | Optometrist | 515 W Buckeye Rd Ste 104, Phoenix, AZ 85003-3699 | 2020-06-10 |
| 1881227957 | Alex Christensen | Optometrist | 515 W Buckeye Rd Ste 104, Phoenix, AZ 85003-3699 | 2020-02-18 |
| 1407418692 | Christopher James Johnson | Optometrist | 515 W Buckeye Rd Ste 104, Phoenix, AZ 85003-3699 | 2019-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518504406 | Jennifer A Day | Counselor | 125 South Avenue, Phoenix, AZ 85003 | 2019-12-10 |
| 1588148993 | Jillian Ralston | Optometrist | 112 W Mcdowell Road, Phoenix, AZ 85003 | 2018-09-20 |
| 1699254839 | Corner Pharmacy Incorporated | Pharmacy | 112 N 5th Ave Ste 101, Phoenix, AZ 85003 | 2018-08-08 |
| 1003279043 | Kimberly Brown | Technician, Other | 609 N 2nd Aveunue, 200, Phoenix, AZ 85003 | 2016-03-29 |
| 1548678626 | Douglas Barshter | Technician, Other | 602 N 2nd Avenue, Phoenix, AZ 85003 | 2014-08-01 |
| 1225383201 | Charles S Bell | Counselor | 609 North 2nd Ave., Phoenix, AZ 85003 | 2012-07-17 |
| 1790004133 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 50 W. Jefferson St., Suite 140, Phoenix, AZ 85003 | 2010-05-25 |
| 1184806960 | Word Play, LLC | Home Health | 808 N 4th Ave Unit 12, Phoenix, AZ 85003 | 2007-12-03 |
| 1609067842 | Salim Shafi | Dentist | 125 W Mcdowell Road, Phoenix, AZ 85003 | 2007-08-05 |
| 1932203676 | Williams Family Medicine LLC | Family Medicine | 515 West Buckeye Rd, Suite 304, Phoenix, AZ 85003 | 2006-09-12 |
| Find all providers in zip 85003 | ||||
| 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 |
|---|---|---|---|---|
| 1962881698 | Nishi Madhusudan Shah | Ophthalmology | 3815 E Bell Rd Ste 2500, Phoenix, AZ 85032-2151 | 2015-05-27 |
| 1477984862 | James Chipman Wootton | Ophthalmology | 6202 N 22nd St, Phoenix, AZ 85016-2003 | 2013-12-10 |
| 1518233592 | Debora Elena Garcia-zalisnak | Ophthalmology | 8410 W Thomas Rd Ste 146, Phoenix, AZ 85037-3374 | 2012-03-23 |
| 1750677415 | Matthew Heller | Ophthalmology | 515 W Buckeye Road, Suite 104, Phoenix, AZ 85003-3699 | 2011-06-21 |
| 1629224795 | Ronald S Garlikov | Ophthalmology | 13225 N 14th St, Phoenix, AZ 85022-4918 | 2008-08-08 |
| 1952570194 | Misha Faustina, M.d. PC | Ophthalmology | 1010emcdowellrd, #406, Phoenix, AZ 85006-2610 | 2008-02-21 |
| 1497971535 | Robert E Fintelmann | Ophthalmology | 4400 N 32nd St Ste 280, Phoenix, AZ 85018-3978 | 2007-04-17 |
| 1013065770 | Madhavi Kurli | Ophthalmology | 19820 N 7th St, Suite 120, Phoenix, AZ 85024-1689 | 2007-01-08 |
| 1457410623 | Abc Children's Eye Specialists PC | Ophthalmology | 1010 E Mcdowell Rd Ste 301, Phoenix, AZ 85006 | 2006-12-06 |
| 1851496848 | Graham Barth Kretchman | Ophthalmology | 1010 E Mcdowell, Suite 406, Phoenix, AZ 85006 | 2006-09-14 |
| Find all providers in PHOENIX | ||||
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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.