Patrick Padrnos O.D. P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

646 Issued in AZ

Legal business name

PATRICK PADRNOS O.D. P.C.

Practice address

300 N Beeline Hwy
Payson, AZ 85541-4305

Phone

(928) 472-2826

NPI assigned

Dec 2, 2008

Organization subpart

No

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

Authorized official

Name

Patrick Padrnos, O.D.NPI 1023074085

Title

President

Phone

(928) 779-5600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Patrick Padrnos O.D. P.C.

  • Optometrist
  • Flagstaff, AZ
  • NPI 1770735847

  O20081201000458

  Same enrollment

Locations

Practitioners 3

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

• Patrick Edward Padrnos, O.D.

  • Optometrist
  • Flagstaff, AZ
  • NPI 1023074085
  NPD Authorized official
• Sarah Padrnos, O.D.

  • Optometrist
  • Flagstaff, AZ
  • NPI 1790184604
  NPD
• Rebecca Passa, O.D.

  • Optometrist
  • Flagstaff, AZ
  • NPI 1477960268
  NPD (past)

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1154566305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 S PLAZA WAY",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860016317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N BEELINE HWY",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855414305",
            "telephone_number": "928-472-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK PADRNOS O.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "PADRNOS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-779-5600",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jessica Rae Parker, PA-C
• Paul Christian Alexander
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• Cynthia Erin Pawlicki
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• Optometrist in Payson, AZ
• Providers in Payson, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.

Verify at the official NPI Registry.