Organization Active NPI

Eye on Health Co LLC

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1053786145
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE ON HEALTH CO LLC
Practice address
9305 W Thomas Rd Ste 300
Phoenix, AZ 85037-3366
Phone
(480) 809-0550
Fax
(623) 321-6314
NPI assigned
Dec 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Amanda Greenstreet
Title
Biller
Phone
(480) 459-1944

Specialties & licenses 1

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

Addresses

Primary practice location

9305 W Thomas Rd Ste 300
Phoenix, AZ 85037-3366

Mailing address

9305 W Thomas Rd Ste 300
Phoenix, AZ 85037-3366
Phone (480) 809-0550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160107003159 AZ Part B Supplier - Clinic/Group Practice 5698077618 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

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": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1053786145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373366",
            "telephone_number": "480-809-0550",
            "fax_number": "623-321-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373366",
            "telephone_number": "480-809-0550",
            "fax_number": "623-321-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ON HEALTH CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "GREENSTREET",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "480-459-1944"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.