NPIMap

Organization Active NPI

Southwestern Eye Center LTD

Doing business as Southwestern Eye Center - Chino Valley Optical

  • Durable Medical Equipment & Medical Supplies
  • Chino Valley, AZ
National Provider Identifier
1003384710
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SOUTHWESTERN EYE CENTER LTD
Doing business as
Southwestern Eye Center - Chino Valley Optical
Practice address
399 W Palomino Rd
Chino Valley, AZ 86323-5648
Phone
(928) 636-5504
Fax
(928) 636-0780
NPI assigned
Nov 12, 2018
Last updated
Jan 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Dr. Arthur D Brookfield
Title
Chief Financial Officer
Phone
(602) 598-7488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

399 W Palomino Rd
Chino Valley, AZ 86323-5648

Mailing address

63 S Rockford Dr Ste 220
Tempe, AZ 85288-6226
Phone (602) 598-7488

Other names 1

  • SOUTHWESTERN EYE CENTER - CHINO VALLEY OPTICAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190329001987 AZ DME Supplier - Physician - Optometrist 1850296989 Practice locations: Chino Valley, AZ

Other NPIs with the same Medicare PAC ID 23

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 23

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2159344Southwestern Eye Center, LTD Dba399 W Palomino Road, Chino Valley, AZ 86323Certificate of waiverDec 17, 2026

National Provider Directory

National Provider Directory
Tax ID family
Southwestern Eye Ctr-GR18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1003384710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 S ROCKFORD DR STE 220",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852886226",
            "telephone_number": "602-598-7488",
            "fax_number": "602-231-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 W PALOMINO RD",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863235648",
            "telephone_number": "928-636-5504",
            "fax_number": "928-636-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN EYE CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-12",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "BROOKFIELD",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "602-598-7488",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHWESTERN EYE CENTER - CHINO VALLEY OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOUTHWESTERN EYE CENTER - CHINO VALLEY OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chino Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.