Individual provider Active NPI

Patrick Edward Padrnos, O.D.

  • Optometrist
  • Flagstaff, AZ
National Provider Identifier
1023074085
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
646 Issued in AZ
Practice address
1505 S Yale St
Flagstaff, AZ 86001-6562
Phone
(928) 779-5600
Fax
(928) 779-5701
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 646 AZ Primary

Addresses

Primary practice location

1505 S Yale St
Flagstaff, AZ 86001-6562

Mailing address

1505 S Yale St
Flagstaff, AZ 86001-6562
Phone (928) 779-5600

Other identifiers 1

IdentifierTypeStateIssuer
410049652OtherAZRAILROAD MEDICARE

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
I20040528000004 AZ Practitioner - Optometry 2769379130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patrick Padrnos OD PCGroup PAC ID 7315834785, 2 clinicians

Practice addresses (Care Compare)

1505 S Yale St
Flagstaff, AZ 86001-6562
Phone (928) 779-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick Padrnos O.D. P.C. Optometrist CurrentSince Jan 1, 2002 Accepting new patients
Patrick Padrnos O.D. P.C. Optometrist CurrentSince Jan 1, 2002 Accepting new patients

Locations

1135 S Plaza Way
Flagstaff, AZ 86001
Phone (928) 779-5600

1505 S Yale St
Flagstaff, AZ 86001
Phone (928) 779-5600

300 N Beeline Hwy
Payson, AZ 85541
Phone (928) 472-2826

Organizations & group practices 2

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1023074085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 S YALE ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860016562",
            "telephone_number": "928-779-5600",
            "fax_number": "928-779-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 S YALE ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860016562",
            "telephone_number": "928-779-5600",
            "fax_number": "928-779-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADRNOS",
        "first_name": "PATRICK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410049652",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.