Active NPI
Chris Simopoulos, O.D.
- Optometrist
- Phoenix, AZ
National Provider Identifier
1093083107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT-001839
- Practice address
- 7575 W Lower Buckeye Rd
Phoenix, AZ 85043-3450 - Phone
- (623) 907-5952
- NPI assigned
- Dec 2, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT-001839 | AZ | Primary |
Addresses
Primary practice location
7575 W Lower Buckeye Rd
Phoenix, AZ 85043-3450
Mailing address
1287 N 162ND Ave
Goodyear, AZ 85338-4060
Phone (602) 790-4610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT-001839 | AZ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1093083107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1287 N 162ND AVE",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853384060",
"telephone_number": "602-790-4610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7575 W LOWER BUCKEYE RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850433450",
"telephone_number": "623-907-5952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMOPOULOS",
"first_name": "CHRIS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-02",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "OPT-001839",
"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 Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.