Gold Canyon Eye Center, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1385 Issued in AZ

Legal business name

GOLD CANYON EYE CENTER, PLLC

Practice address

6900 E US Highway 60
118
Gold Canyon, AZ 85118-7443

Phone

(480) 474-2020

Fax

(480) 474-8787

NPI assigned

Feb 29, 2008

Organization subpart

No

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

Authorized official

Name

Trina Cheng, O.D.NPI 1295761278

Title

Optometrist/Owner

Phone

(480) 474-2020

Specialties & licenses 1

Addresses

Other names 1

• Gold Canyon Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

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

• Trina Lau Cheng, O.D.

  • Optometrist
  • Gold Canyon, AZ
  • NPI 1295761278

  AZ, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Lars John Carlson, O.D.

  • Optometrist
  • Gold Canyon, AZ
  • NPI 1285703959

  AZ, Optometrist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1043489420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 E US HIGHWAY 60",
            "address_2": "118",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851187443",
            "telephone_number": "480-474-2020",
            "fax_number": "480-474-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 E US HIGHWAY 60",
            "address_2": "118",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851187443",
            "telephone_number": "480-474-2020",
            "fax_number": "480-474-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD CANYON EYE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "TRINA",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "480-474-2020",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gold Canyon Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Foothills Sports Medicine & Rehabilitation - Gold Canyon, LLC
• Geomancie Promise LLC With Hellinger Systemic Constellations
• Gold Canyon Contemporary Dentistry
• Gold Canyon Counseling
• Gold Canyon Dentistry
• Gold Canyon Family Practice
• Gold Canyon Hearing, PLLC
• Gold Canyon Internal Medicine
• Gold Canyon Urgent Care
• Gold Canyon Urgent Care and Family Medicine

• Optometrist in Gold Canyon, AZ
• Providers in Gold Canyon, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.