Individual provider Active NPI

Irina Andrushenko, O.D.

  • Optometrist
  • Gilbert, AZ
National Provider Identifier
1043311160
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-001533 Issued in AZ
Practice address
2450 E Guadalupe Rd Ste 107
Gilbert, AZ 85234-5116
Phone
(480) 558-0600
NPI assigned
Sep 25, 2006
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-001533 AZ Primary

Addresses

Primary practice location

2450 E Guadalupe Rd Ste 107
Gilbert, AZ 85234-5116

Mailing address

2450 E Guadalupe Rd Ste 107
Gilbert, AZ 85234-5116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080114000275 TX Practitioner - Optometry 5092896365 Reassigns benefits to 1 organization
I20100616000698 AZ Practitioner - Optometry 5092896365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emilio Martin Justo MD PCGroup PAC ID 4183600810, 12 clinicians

Practice addresses (Care Compare)

2450 E Guadalupe Rd
Gilbert, AZ 85234-5116
Phone (480) 507-0600

Merit-based Incentive Payment System (MIPS)

Final score
93.48 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Mar 28, 2010 Accepting new patients
Emilio Martin Justo MD PC CurrentSince May 1, 2023 Accepting new patients
DHHS PHS Naihs Fort Defiance Hospital Past Accepting new patients
The Vision Center an Optometric Practice Incorporated Optometrist PastSince Jun 1, 2000 Accepting new patients

Locations

2450 E Guadalupe Rd
Ste 107
Gilbert, AZ 85234
Phone (480) 507-0600

955 W Southern Ave
Ste 122
Mesa, AZ 85210
Phone (480) 655-0741

2222 E Camelback Rd
Ste 250
Phoenix, AZ 85016
Phone (602) 265-2745

8404 E Shea Blvd
Ste 105
Scottsdale, AZ 85260
Phone (480) 483-0711

10701 W Bell Rd
Sun City, AZ 85351
Phone (623) 876-2020

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1043311160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 E GUADALUPE RD STE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852345116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 E GUADALUPE RD STE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852345116",
            "telephone_number": "480-558-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRUSHENKO",
        "first_name": "IRINA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-001533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.