Eyeflyaz, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

1061 Issued in AZ

Legal business name

EYEFLYAZ, INC

Doing business as

Phillips Eye Care

Practice address

960 E Fry Blvd
Sierra Vista, AZ 85635-2640

Phone

(520) 515-3937

Fax

(520) 515-3860

NPI assigned

Nov 13, 2008

Last updated

Jan 7, 2014By 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

Dr. Stephen D Phillips, ODNPI 1922090984

Title

Owner/President

Phone

(520) 515-3937

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Phillips Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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.

• Stephen D Phillips, OD

  • Optometrist
  • Sierra Vista, AZ
  • NPI 1922090984
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1053565382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 E FRY BLVD",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352640",
            "telephone_number": "520-515-3937",
            "fax_number": "520-515-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E FRY BLVD",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352640",
            "telephone_number": "520-515-3937",
            "fax_number": "520-515-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEFLYAZ, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "520-515-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922090984",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922090984",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z125912",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phillips Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Estrada, LPN
• Gregory Etienne, PHYSICIAN ASSISTANT
• Judith Evans, RPH
• Nathaniel D. Evans, D.O
• Morgan Paul Evershed, D.D.S.
• Eyemart Express LLC
• Fadi Fahad, MD
• Baha Aldin Faiyoumi, MD
• Family Health Center of Sierra Vista, PC
• Kristin Faucher

• Optometrist in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.