Individual provider Active NPI

Amy Elizabeth Keding, O.D.

  • Optometrist
  • Scottsdale, AZ
National Provider Identifier
1003267030
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2122 Issued in AZ
Practice address
8752 E Shea Blvd Ste 125
Scottsdale, AZ 85260
Phone
(480) 991-6432
Fax
(480) 991-2143
NPI assigned
Jun 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2122 AZ Primary

Addresses

Primary practice location

8752 E Shea Blvd Ste 125
Scottsdale, AZ 85260

Mailing address

7501 E McDowell Rd Apt 3181
Scottsdale, AZ 85257-3575
Phone (847) 370-5985

Other practice location 1

220 S 63rd St
Mesa, AZ 85206-1619
Phone (480) 641-3937

Other practice location 2

555 N Gilbert Rd Ste 101
Mesa, AZ 85203-7551
Phone (480) 827-9184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160725002466 AZ Practitioner - Optometry 8820381155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riviera Opticare IncGroup PAC ID 1951393735, 5 clinicians

Practice addresses (Care Compare)

555 N Gilbert Rd
Suite 101
Mesa, AZ 85203-7551
Phone (480) 827-9184

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Swagel-Wootton Eye Center, Inc Current Accepting new patients
Riviera Opticare Inc. Optometrist CurrentSince Nov 1, 2018 Accepting new patients
Riviera Opticare Inc. Optometrist CurrentSince Nov 1, 2018 Accepting new patients

Locations

555 N Gilbert Rd
Ste 101
Mesa, AZ 85203
Phone (480) 827-9184

220 S 63rd St
Mesa, AZ 85206
Phone (480) 641-3937

8752 E Shea Blvd
Ste 125
Scottsdale, AZ 85260
Phone (480) 991-6432

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1003267030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 E MCDOWELL RD APT 3181",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573575",
            "telephone_number": "847-370-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8752 E SHEA BLVD STE 125",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-991-6432",
            "fax_number": "480-991-2143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 S 63rd St",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852061619",
            "country_code": "US",
            "telephone_number": "480-641-3937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 N Gilbert Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852037551",
            "country_code": "US",
            "telephone_number": "480-827-9184",
            "fax_number": "480-461-0703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEDING",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.