Active NPI
Roger Alejandro Juarez, O.D.
- Optometrist
- Phoenix, AZ
National Provider Identifier
1154587939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 13576
- Practice address
- 9515 W Camelback Rd
Suite 110
Phoenix, AZ 85037-1355 - Phone
- (623) 937-1655
- Fax
- (623) 930-1396
- NPI assigned
- Jul 31, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 13576 | CA | Primary |
Addresses
Primary practice location
9515 W Camelback Rd
Suite 110
Phoenix, AZ 85037-1355
Mailing address
9515 W Camelback Rd
Suite 110
Phoenix, AZ 85037-1355
Phone (623) 937-1655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
9515 W Camelback Rd
Suite 110
Phoenix, AZ 85037-1365
Phone (623) 937-1655
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13576 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Vision Center of West Phoenix | Optometrist | Current | Accepting new patients |
| Dr. Burns & Associates, P.C. | Optometrist | Past | Accepting new patients |
Locations
9515 W Camelback Rd
Ste 110
Phoenix, AZ 85037
Phone (623) 937-1655
10265 W Camelback Rd
Ste 130
Phoenix, AZ 85037
Phone (623) 937-1655
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Phoenix, AZ
- NPI 1831401934
-
- Optometrist
- Phoenix, AZ
- NPI 1437399268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400112000000",
"number": "1154587939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9515 W CAMELBACK RD",
"address_2": "SUITE 110",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850371355",
"telephone_number": "623-937-1655",
"fax_number": "623-930-1396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9515 W CAMELBACK RD",
"address_2": "SUITE 110",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850371355",
"telephone_number": "623-937-1655",
"fax_number": "623-930-1396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUAREZ",
"first_name": "ROGER",
"middle_name": "ALEJANDRO",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-31",
"last_updated": "2014-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "13576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.