NPIMap

Organization Active NPI

Associated Retina Consultants, LTD.

  • Ophthalmology Physician
  • Prescott, AZ
National Provider Identifier
1053592428
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ASSOCIATED RETINA CONSULTANTS, LTD.
Practice address
1022 Willow Creek Rd
Prescott, AZ 86301-1607
Phone
(602) 242-4928
Fax
(602) 249-4813
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Kim K Jones
Title
Credentialist
Phone
(602) 216-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1022 Willow Creek Rd
Prescott, AZ 86301-1607

Mailing address

7600 N 15TH St
Suite 155
Phoenix, AZ 85020-4327
Phone (602) 242-4928

National Provider Directory

National Provider Directory
Tax ID family
Az Vitreoretinal Assoc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

199 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 204-4170

199 S Candy Ln
Ste 2
Cottonwood, AZ 86326
Phone (928) 634-2883

3513 S Mercy Rd
Gilbert, AZ 85297
Phone (420) 641-5400

302 W Main St
Payson, AZ 85541
Phone (928) 474-4126

1750 E Glendale Ave
Phoenix, AZ 85020
Phone (602) 216-1144

1055 W Iron Springs Rd
Prescott, AZ 86305

2517 N Great Western Dr
Ste K
Prescott Valley, AZ 86314

9220 E Mountain View Rd
Ste 219
Scottsdale, AZ 85258

14500 N Northsight Blvd
Scottsdale, AZ 85260

14500 N Northsight Blvd
Ste 121
Scottsdale, AZ 85260
Phone (602) 216-1141

10503 W Thunderbird Blvd
Ste 121
Sun City, AZ 85351

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1053592428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 N 15TH ST",
            "address_2": "SUITE 155",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204327",
            "telephone_number": "602-242-4928",
            "fax_number": "602-249-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011607",
            "telephone_number": "602-242-4928",
            "fax_number": "602-249-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED RETINA CONSULTANTS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CREDENTIALIST",
        "authorized_official_telephone_number": "602-216-1144"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.