San Tan Eyecare - Paradise Valley, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SAN TAN EYECARE - PARADISE VALLEY, PLLC

Practice address

4550 E Bell Rd Ste 104
Phoenix, AZ 85032-9342

Phone

(602) 661-6519

Fax

(602) 996-4231

NPI assigned

Jun 22, 2006

Organization subpart

No

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

Authorized official

Name

John N Chrisagis, ODNPI 1255490504

Title

Manager

Phone

(480) 967-4910

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John N Chrisagis, O D P C

  • Optometrist
  • Tempe, AZ
  • NPI 1255490504
  NPD Authorized official
• George Paul, O.D.

  • Optometrist
  • Tempe, AZ
  • NPI 1205205457
  NPD
• Blaine Kenneth Watkins, O.D.

  • Optometrist
  • Mesa, AZ
  • NPI 1962784975
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1124064654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 E BELL RD STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850329342",
            "telephone_number": "602-661-6519",
            "fax_number": "602-996-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 E BELL RD STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850329342",
            "telephone_number": "602-661-6519",
            "fax_number": "602-996-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN TAN EYECARE - PARADISE VALLEY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "CHRISAGIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-967-4910",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzana Marcella Samuel, MD
• Jody Leona Samuelson, DC
• Robert Samuelson
• Robin San George
• San Judas Group Home
• San Tan Foot and Ankle
• San Tan Orthopedics, PLC
• Sana Health and Wellness LLC
• Sana Vida Psychiatry
• Sana Vitae Surgeons LLC

• Optometrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.