Organization Active NPI

Tara Ransdell OD PLLC

  • Optometrist
  • Peoria, AZ
National Provider Identifier
1104914316
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1278 Issued in AZ
Legal business name
TARA RANSDELL OD PLLC
Practice address
7727 W Deer Valley Rd
Ste E200
Peoria, AZ 85382-2116
Phone
(623) 376-9070
Fax
(623) 376-9079
NPI assigned
Oct 11, 2006
Last updated
Feb 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Authorized official

Name
Dr. Tara Ransdell, ODNPI 1316901366
Title
Owner
Phone
(623) 376-9070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1278 AZ Primary

Addresses

Primary practice location

7727 W Deer Valley Rd
Ste E200
Peoria, AZ 85382-2116

Mailing address

21121 N 63Rd Dr
Glendale, AZ 85308-6349
Phone (623) 328-7859

National Provider Directory

National Provider Directory

Locations

20783 N 83rd Ave
Ste 108
Peoria, AZ 85382
Phone (623) 376-9070

7727 W Deer Valley Rd
Ste 200
Peoria, AZ 85382
Phone (623) 376-9070

7727 W Deer Valley Rd
Ste E200
Peoria, AZ 85382
Phone (623) 376-9070

13507 W Camino del Sol
Sun City West, AZ 85375
Phone (623) 584-2100

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1104914316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21121 N 63RD DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086349",
            "telephone_number": "623-328-7859",
            "fax_number": "623-376-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7727 W DEER VALLEY RD",
            "address_2": "STE E200",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822116",
            "telephone_number": "623-376-9070",
            "fax_number": "623-376-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA RANSDELL OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "RANSDELL",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-376-9070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.