Active NPI
Eye Physicians & Surgeons of Arizona, PC
- Ophthalmology Physician
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 16811
- Legal business name
- EYE PHYSICIANS & SURGEONS OF ARIZONA, PC
- Practice address
- 6677 W Thunderbird Rd
Suite F 101
Glendale, AZ 85306-3709 - Phone
- (623) 878-3939
- Fax
- (623) 878-5567
- NPI assigned
- Apr 4, 2007
- Last updated
- Jan 14, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George Ronald Reiss, MD
- Title
- President
- Phone
- (623) 878-3939
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 16811 | AZ | Primary |
Addresses
Primary practice location
6677 W Thunderbird Rd
Suite F 101
Glendale, AZ 85306-3709
Mailing address
6677 W Thunderbird Rd
Suite F 101
Glendale, AZ 85306-3709
Phone (623) 878-3939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2288507 | Eye Physicians and Surgeons of Arizona | Certificate of waiver | Aug 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
6677 W Thunderbird Rd
Ste 101
Glendale, AZ 85306
6677 W Thunderbird Rd
Ste F101
Glendale, AZ 85306
10603 N Hayden Rd
#100
Scottsdale, AZ 85260
10619 N Hayden Rd
Ste 101A
Scottsdale, AZ 85260
Phone (480) 798-0733
Interoperability endpoints
- bhoyt@eyesarizona.intellechartdirect.net
- greiss@eyesarizona.intellechartdirect.net
- https://api.platform.athenahealth.com/1615/brand/1/csg/1/fhir/r4
- sgross@eyesarizona.intellechartdirect.net
- spatel@eyesarizona.intellechartdirect.net
Practitioners & affiliated clinicians
Practitioners 19
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.
-
- Ophthalmology Physician
- Glendale, AZ
- NPI 1619927969
-
- Optometrist
- Sacaton, AZ
- NPI 1366130296
-
- Glaucoma Specialist (Ophthalmology) Physician
- Glendale, AZ
- NPI 1982232542
-
- Ophthalmology Physician
- Glendale, AZ
- NPI 1821298134
-
- Optometrist
- Glendale, AZ
- NPI 1770871618
-
- Ophthalmology Physician
- Glendale, AZ
- NPI 1477815389
-
- Optometrist
- Glendale, AZ
- NPI 1144685694
-
- Optometrist
- Glendale, AZ
- NPI 1235111055
-
- Ophthalmology Physician
- Phoenix, AZ
- NPI 1639152911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452729600000",
"number": "1124140504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6677 W THUNDERBIRD RD",
"address_2": "SUITE F 101",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853063709",
"telephone_number": "623-878-3939",
"fax_number": "623-878-5567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6677 W THUNDERBIRD RD",
"address_2": "SUITE F 101",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853063709",
"telephone_number": "623-878-3939",
"fax_number": "623-878-5567"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE PHYSICIANS & SURGEONS OF ARIZONA, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-04",
"last_updated": "2016-01-14",
"status": "A",
"authorized_official_last_name": "REISS",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "RONALD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "623-878-3939",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "AZ",
"license": "16811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.