Individual provider Active NPI

Clarissa Orzell, OD

  • Optometrist
  • Glendale, AZ
National Provider Identifier
1063999027
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002289 Issued in AZ
Practice address
7700 W Arrowhead Towne Ctr Ste 2130
Glendale, AZ 85308-0929
Phone
(623) 486-2020
NPI assigned
Jul 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-002289 AZ Primary

Addresses

Primary practice location

7700 W Arrowhead Towne Ctr Ste 2130
Glendale, AZ 85308-0929

Mailing address

3531 W Charleston Ave
Glendale, AZ 85308-2806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201009001020 AZ Practitioner - Optometry 3274953435 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-002289AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tom Sowash OD & Associates PC Optometrist CurrentSince Sep 8, 2020 Accepting new patients
Emergency Medical & Surgical Specialists of Colorado LLC PastSince Sep 8, 2020 Accepting new patients

Locations

917 N Promenade Pkwy
Ste 101
Casa Grande, AZ 85194
Phone (520) 836-8946

3431 W Frye Rd
Ste 1
Chandler, AZ 85226
Phone (480) 782-9380

4650 N US Highway 89
Ste C2
Flagstaff, AZ 86004
Phone (928) 522-8424

7700 W Arrowhead Towne Ctr
Ste 2130
Glendale, AZ 85308
Phone (623) 486-2020

14009 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 935-6118

5870 E Broadway Blvd
Ste 506
Tucson, AZ 85711
Phone (520) 745-0229

175 E Houston St
San Antonio, TX 78205
Phone (210) 524-6982

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1063999027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 W CHARLESTON AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853082806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 W ARROWHEAD TOWNE CTR STE 2130",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853080929",
            "telephone_number": "623-486-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORZELL",
        "first_name": "CLARISSA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.