Individual provider Active NPI

Isaac Wright, OD

  • Optometrist
  • Tempe, AZ
National Provider Identifier
1083273924
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002349 Issued in AZ
Practice address
2020 E Rio Salado Pkwy # 101
Tempe, AZ 85281-3042
Phone
(480) 967-0563
NPI assigned
Jun 12, 2019
Last updated
Jun 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002349 AZ Primary

Addresses

Primary practice location

2020 E Rio Salado Pkwy # 101
Tempe, AZ 85281-3042

Mailing address

931 N Heritage
Mesa, AZ 85201-3931
Phone (480) 980-3486

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
I20191021000487 AZ Practitioner - Optometry 6608107875 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002349AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tom Sowash OD & Associates PC Optometrist CurrentSince Jul 1, 2019 Accepting new patients
Emergency Medical & Surgical Specialists of Colorado LLC Past Accepting new patients
Visionworks, Inc Past 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

9055 E Talking Stick Way
Scottsdale, AZ 85250
Phone (480) 948-0705

2020 E Rio Salado Pkwy
Ste 101
Tempe, AZ 85288
Phone (480) 966-2456

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1083273924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 N HERITAGE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013931",
            "telephone_number": "480-980-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E RIO SALADO PKWY # 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852813042",
            "telephone_number": "480-967-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "ISAAC",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "002349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.