Highline Eye Care, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

HIGHLINE EYE CARE, PLLC

Doing business as

Highline Eye Care & Optical

Practice address

1600 W University Ave Ste 105&110
Flagstaff, AZ 86001-3114

Phone

(928) 814-2579

NPI assigned

Mar 29, 2021

Last updated

May 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lexi Taylor Kortsen, ODNPI 1558987644

Title

Optometrist/Owner

Phone

(928) 240-9214

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Highline Eye Care & Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lexi Taylor Kortsen, OD

  • Optometrist
  • Flagstaff, AZ
  • NPI 1558987644
  Medicare reassignment Care Compare group NPD Authorized official
• Maureen A Meyer, OD

  • Optometrist
  • Flagstaff, AZ
  • NPI 1649251737
  Medicare reassignment Care Compare group NPD
• Daniel Eugene Thomas, O.D.

  • Optometrist
  • Flagstaff, AZ
  • NPI 1013971282
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653782400000",
    "number": "1023696408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W UNIVERSITY AVE STE 105",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013154",
            "telephone_number": "928-240-9214",
            "fax_number": "928-240-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W UNIVERSITY AVE STE 105&110",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013114",
            "telephone_number": "928-814-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLINE EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2022-05-29",
        "certification_date": "2022-05-29",
        "status": "A",
        "authorized_official_last_name": "KORTSEN",
        "authorized_official_first_name": "LEXI",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "928-240-9214",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008561",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highline Eye Care & Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colin R Hickenlooper, PA-C
• Ladonna Lynn Hickman, M.S. CCC-SLP
• Lindsey Alane Hiebert, M.S., CF-SLP
• Paul Hiette, M.D.
• High Country Lactation Care, Inc
• Elisa Hilburn, NP
• Michael Dale Hilburn, FNP-C
• Mandy L Hilgeman, CRNA
• Bruce D. Hill, PHD, LMFT, CEAP
• Matthew Golden Hill, D.D.S.

• Optometrist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2022; 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.