Organization Active NPI

Optical Expressions PLLC

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1013141399
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1480 Issued in AZ
Legal business name
OPTICAL EXPRESSIONS PLLC
Practice address
112 W McDowell Rd
Phoenix, AZ 85003
Phone
(602) 254-3169
Fax
(602) 256-7112
NPI assigned
May 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Authorized official

Name
Laurie Shapiro
Title
Owner/Member/Partner
Phone
(602) 254-3169

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 1480 AZ Primary
Corneal and Contact Management OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WC0802X 96003772 AZ

Addresses

Primary practice location

112 W McDowell Rd
Phoenix, AZ 85003

Mailing address

112 W McDowell Rd
Phoenix, AZ 85003
Phone (602) 254-3169

Other identifiers 3

IdentifierTypeStateIssuer
1730150319OtherAZNPI
1669403028OtherAZNPI
1568529220OtherAZNPI

Other names 1

  • Optical Expressions Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160114002779 AZ Part B Supplier - Clinic/Group Practice 5597068155 Receives reassigned benefits from 5 practitioners
Practice locations: Phoenix, AZ; Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

112 W McDowell Rd
Phoenix, AZ 85003
Phone (602) 254-3169

2425 E Camelback Rd
Ste 106
Phoenix, AZ 85016
Phone (602) 224-5772

4425 N 24th St
Ste 250
Phoenix, AZ 85016
Phone (602) 224-5772

6137 N Scottsdale Rd
Ste 113
Scottsdale, AZ 85250
Phone (480) 998-1606

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1013141399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85003",
            "telephone_number": "602-254-3169",
            "fax_number": "602-256-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85003",
            "telephone_number": "602-254-3169",
            "fax_number": "602-256-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL EXPRESSIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER/MEMBER/PARTNER",
        "authorized_official_telephone_number": "602-254-3169"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1480",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "AZ",
            "license": "96003772",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1730150319",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669403028",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1568529220",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optical Expressions Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.