NPIMap

Organization Active NPI

Vision Independence Services of Arizona, LLC

  • Low Vision Occupational Therapist
  • Phoenix, AZ
National Provider Identifier
1063998763
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Occupational TherapistTaxonomy code 225XL0004X
License
4548 Issued in AZ
Legal business name
VISION INDEPENDENCE SERVICES OF ARIZONA, LLC
Practice address
3031 W Cottonwood LN
Phoenix, AZ 85045-2232
Phone
(480) 294-3080
NPI assigned
Jul 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Authorized official

Name
Dr. Vanessa McCarthy, OTD
Title
Owner
Phone
(480) 294-3080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XL0004X 4548 AZ Primary

Addresses

Primary practice location

3031 W Cottonwood LN
Phoenix, AZ 85045-2232

Mailing address

3031 W Cottonwood LN
Phoenix, AZ 85045-2232
Phone (480) 294-3080

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1063998763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 W COTTONWOOD LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850452232",
            "telephone_number": "480-294-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 W COTTONWOOD LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850452232",
            "telephone_number": "480-294-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION INDEPENDENCE SERVICES OF ARIZONA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-294-3080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD"
    },
    "taxonomies": [
        {
            "code": "225XL0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Low Vision",
            "state": "AZ",
            "license": "4548",
            "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 Dec 19, 2018; 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.