Organization Active NPI

Axis Eye Center LLC

  • Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1083911929
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
30886 Issued in AZ
Legal business name
AXIS EYE CENTER LLC
Practice address
2226 W Northern Ave Ste C203
Phoenix, AZ 85021-4929
Phone
(602) 942-2020
Fax
(602) 942-2121
NPI assigned
Feb 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Aasim Kamal, MDNPI 1902895931
Title
Provider
Phone
(602) 942-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 30886 AZ Primary

Addresses

Primary practice location

2226 W Northern Ave Ste C203
Phoenix, AZ 85021-4929

Mailing address

PO Box 39148
Phoenix, AZ 85069-9148
Phone (602) 439-6780

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110414000952 AZ Part B Supplier - Clinic/Group Practice 7911181946 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

5310 W Thunderbird Rd
Ste 103
Glendale, AZ 85306
Phone (602) 343-6233

1800 E Van Buren St
Fl 9
Phoenix, AZ 85006
Phone (602) 252-9838

Practitioners & affiliated clinicians

Practitioners 1

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": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1083911929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39148",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850699148",
            "telephone_number": "602-439-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 W NORTHERN AVE STE C203",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214929",
            "telephone_number": "602-942-2020",
            "fax_number": "602-942-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "KAMAL",
        "authorized_official_first_name": "AASIM",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "602-942-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "30886",
            "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 Mar 22, 2024; 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.