NPIMap

Organization Active NPI

Vision Therapy Specialist, PLLC

  • Optometrist
  • Scottsdale, AZ
National Provider Identifier
1053506089
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
076 Issued in AZ
Legal business name
VISION THERAPY SPECIALIST, PLLC
Practice address
20789 N Pima Rd
Suite 145
Scottsdale, AZ 85255-7204
Phone
(480) 969-5800
NPI assigned
Sep 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Richard Glonek, OD
Title
President
Phone
(480) 969-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 076 AZ Primary

Addresses

Primary practice location

20789 N Pima Rd
Suite 145
Scottsdale, AZ 85255-7204

Mailing address

20789 N Pima Rd
Suite 145
Scottsdale, AZ 85255-7204
Phone (480) 969-5800

National Provider Directory

National Provider Directory

Locations

20789 N Pima Rd
Ste 145
Scottsdale, AZ 85255
Phone (480) 515-2727

10505 N 69th St
Ste 1000
Scottsdale, AZ 85253
Phone (480) 483-0711

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1053506089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20789 N PIMA RD",
            "address_2": "SUITE 145",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557204",
            "telephone_number": "480-969-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20789 N PIMA RD",
            "address_2": "SUITE 145",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557204",
            "telephone_number": "480-969-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION THERAPY SPECIALIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "GLONEK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-969-5800",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.