Individual provider Active NPI

Michele Alexis Coffman, OD

  • Optometrist
  • Scottsdale, AZ
National Provider Identifier
1093799850
Registry record updated Oct 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1785 Issued in AZ
Practice address
32351 N Scottsdale Rd
Scottsdale, AZ 85266-1513
Phone
(480) 575-7518
Fax
(480) 575-7542
NPI assigned
Dec 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1785 AZ Primary

Addresses

Primary practice location

32351 N Scottsdale Rd
Scottsdale, AZ 85266-1513

Mailing address

32351 N Scottsdale Rd
Scottsdale, AZ 85266-1513
Phone (480) 575-7518

Other practice location 1

21001 N Tatum Blvd Ste 20
Phoenix, AZ 85050-4207
Phone (480) 419-9750

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1785AZMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michele a. Coffman OD PA Optometrist Current Accepting new patients

Locations

32351 N Scottsdale Rd
Scottsdale, AZ 85266
Phone (480) 575-5910

5875 Lake Worth Rd
Greenacres, FL 33463
Phone (561) 847-4794

Organizations & group practices 1

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635638400000",
    "number": "1093799850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32351 N SCOTTSDALE RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852661513",
            "telephone_number": "480-575-7518",
            "fax_number": "480-575-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32351 N SCOTTSDALE RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852661513",
            "telephone_number": "480-575-7518",
            "fax_number": "480-575-7542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21001 N Tatum Blvd Ste 20",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850504207",
            "country_code": "US",
            "telephone_number": "480-419-9750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "MICHELE",
        "middle_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2021-10-31",
        "certification_date": "2021-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.