Active NPI
Clasik Vision Care PLLC
- Optometrist
- San Tan Valley, AZ
National Provider Identifier
1144567173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 791
- Legal business name
- CLASIK VISION CARE PLLC
- Practice address
- 3125 W Hunt Hwy # B-102
San Tan Valley, AZ 85142-9315 - Phone
- (480) 525-2025
- Fax
- (480) 422-8749
- NPI assigned
- Jan 10, 2013
- Last updated
- Jan 3, 2019
- 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
- Dr. Jordan D Rothlisberger, OD
- Title
- Doctor/Owner
- Phone
- (480) 861-0590
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 791 | AZ | Primary |
Addresses
Primary practice location
3125 W Hunt Hwy # B-102
San Tan Valley, AZ 85142-9315
Mailing address
3125 W Hunt Hwy # B-102
San Tan Valley, AZ 85142-9315
Phone (480) 525-2025
Other practice location 1
5537 E Thunderbird Rd
Scottsdale, AZ 85254-3658
Phone (480) 525-2025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
3125 W Hunt Hwy
#B102
San Tan Valley, AZ 85144
Phone (480) 525-2025
3125 W Hunt Hwy
Ste B102
San Tan Vly, AZ 85144
Phone (480) 525-2025
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Optometrist
- Gilbert, AZ
- NPI 1306980339
-
- Optometrist
- Gilbert, AZ
- NPI 1093261646
-
- Optometrist
- Sacaton, AZ
- NPI 1801886940
-
- Optometrist
- Mesa, AZ
- NPI 1609863067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546473600000",
"number": "1144567173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3125 W HUNT HWY # B-102",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851429315",
"telephone_number": "480-525-2025",
"fax_number": "480-422-8749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 W HUNT HWY # B-102",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851429315",
"telephone_number": "480-525-2025",
"fax_number": "480-422-8749"
}
],
"practiceLocations": [
{
"address_1": "5537 E Thunderbird Rd",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852543658",
"country_code": "US",
"telephone_number": "480-525-2025",
"fax_number": "480-422-8749",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CLASIK VISION CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-10",
"last_updated": "2019-01-03",
"status": "A",
"authorized_official_last_name": "ROTHLISBERGER",
"authorized_official_first_name": "JORDAN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DOCTOR/OWNER",
"authorized_official_telephone_number": "480-861-0590",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Tan Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.