Garrett Arizala, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

298 Issued in NV

Practice address

1910 E Serene Ave
Las Vegas, NV 89123-3227

Phone

(702) 307-0828

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

Yes

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.

• Garrett H. Arizala, O.D., Prof. Corp.

  • Optometrist
  • Las Vegas, NV
  • NPI 1093947020

  NV, Optometrist

  Medicare reassignment NPD Authorized official

Specialty

Optometry

Education

Pacific University - College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in NV

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104970607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 JULIUS CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891295519",
            "telephone_number": "702-307-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 E SERENE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891233227",
            "telephone_number": "702-307-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIZALA",
        "first_name": "GARRETT",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "OD298",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Watjamon Ariyawangso
• Padma M. Ariyawansa, MD
• Alyssa Miyuki Ariyoshi, DMD
• Rosalinda R Ariza Villacrucis
• Adam Arizaga
• Manuel Arizala
• Arize Medical & Mobility Inc
• Crystal Arizola
• Arj Home Health Care, Inc.
• Rawad Daniel Arja, MD

• All providers in Las Vegas, NV
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.