Organization Active NPI

2020 Image Chandler

  • Optometrist
  • Chandler, AZ
National Provider Identifier
1124349345
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
2020 IMAGE CHANDLER
Practice address
3900 W Ray Rd
Suite #1
Chandler, AZ 85226-2412
Phone
(480) 820-9880
NPI assigned
Jun 22, 2010
Last updated
Nov 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Myda Garza
Title
Director of Operations
Phone
(480) 967-5710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3900 W Ray Rd
Suite #1
Chandler, AZ 85226-2412

Mailing address

3900 W Ray Rd
Suite #1
Chandler, AZ 85226-2412
Phone (480) 820-9880

Other names 1

  • Eyecare Consultants PLC Former legal business name

National Provider Directory

National Provider Directory

Locations

3900 W Ray Rd
Ste 1
Chandler, AZ 85226
Phone (480) 820-9880

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1124349345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 W RAY RD",
            "address_2": "SUITE #1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262412",
            "telephone_number": "480-820-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W RAY RD",
            "address_2": "SUITE #1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262412",
            "telephone_number": "480-820-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2020 IMAGE CHANDLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "MYDA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "480-967-5710"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyecare Consultants PLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.