Stacie L Westen OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1456 Issued in AZ

Legal business name

STACIE L WESTEN OD PLLC

Practice address

5605 W Northern Ave
Glendale, AZ 85301-1332

Phone

(623) 934-6917

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Stacie Westen

Title

President

Phone

(623) 824-4351

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253836800000",
    "number": "1043391451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 E SHEA BLVD",
            "address_2": "APT. 1088",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 W NORTHERN AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011332",
            "telephone_number": "623-934-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACIE L WESTEN OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2009-09-25",
        "status": "A",
        "authorized_official_last_name": "WESTEN",
        "authorized_official_first_name": "STACIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-824-4351"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.