Organization Active NPI

Buena Vista Opthalmologists, P.C.

  • Ophthalmology Physician
  • Phoenix, AZ
National Provider Identifier
1063535284
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
BUENA VISTA OPTHALMOLOGISTS, P.C.
Practice address
300 E Osborn Rd Ste 203
Phoenix, AZ 85012-2396
Phone
(602) 263-8098
NPI assigned
Apr 10, 2007
Last updated
May 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Authorized official

Name
Thomas F Minas, M.D.
Title
Physician
Phone
(602) 263-8098

Specialties & licenses 1

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

Addresses

Primary practice location

300 E Osborn Rd Ste 203
Phoenix, AZ 85012-2396

Mailing address

3700 N 24TH St # 150
Phoenix, AZ 85016-6534
Phone (602) 263-8098

Other practice location 1

3700 N 24th St # 150
Phoenix, AZ 85016-6534
Phone (602) 263-8098

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040714001571 AZ Part B Supplier - Clinic/Group Practice 8022097997 Receives reassigned benefits from 2 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

3700 N 24th St
Ste 150
Phoenix, AZ 85016
Phone (602) 263-8098

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1063535284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 N 24TH ST # 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166534",
            "telephone_number": "602-263-8098",
            "fax_number": "602-234-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E OSBORN RD STE 203",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122396",
            "telephone_number": "602-263-8098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 N 24th St # 150",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850166534",
            "country_code": "US",
            "telephone_number": "602-263-8098",
            "fax_number": "602-234-8484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BUENA VISTA OPTHALMOLOGISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "MINAS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "602-263-8098",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "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 May 16, 2022; 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.