Arizona Eye Institute & Cosmetic Laser Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

OSC3384 Issued in AZ

Legal business name

ARIZONA EYE INSTITUTE & COSMETIC LASER CENTER LLC

Practice address

19052 N R H Johnson Blvd
Sun City West, AZ 85375-4401

Phone

(623) 975-2020

Fax

(623) 975-7005

NPI assigned

Apr 25, 2006

Organization subpart

No

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

Authorized official

Name

Emilio M Justo, M.D.

Title

President/Medical Director

Phone

(623) 975-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Listed as

Arizona Eye Institute and Cosmetic Laser CenterCCN 03C0001261

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Practitioners 1

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

• Joseph Pravoot Gira, MD

  • Ophthalmology Physician
  • Des Peres, MO
  • NPI 1861481152
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1023074291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19052 N R H JOHNSON BLVD",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754401",
            "telephone_number": "623-975-2020",
            "fax_number": "623-975-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19052 N R H JOHNSON BLVD",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754401",
            "telephone_number": "623-975-2020",
            "fax_number": "623-975-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA EYE INSTITUTE & COSMETIC LASER CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "JUSTO",
        "authorized_official_first_name": "EMILIO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "623-975-2020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "OSC3384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arizona Audiology & Hearing, Inc.
• Arizona Center for Hematology and Oncology, PLC
• Arizona CVS Stores LLC
• Arizona Dental Professionals, P.C.
• Arizona Ear Nose and Throat Physicians PLLC
• Arizona Institute of Respiratory Medicine LLC
• Arizona Macular Degeneration Center of Excellence
• Arizona Medical Group LLC
• Arizona Smile Design
• Arizona Smile Design Group

• Ambulatory Surgical Clinic/Center in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.