NPIMap

Organization Active NPI

Associated Retina Consultants, LTD.

  • Retina Specialist (Ophthalmology) Physician
  • Phoenix, AZ
National Provider Identifier
1164633160
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
ASSOCIATED RETINA CONSULTANTS, LTD.
Practice address
1750 E Glendale Ave
Phoenix, AZ 85020-5505
Phone
(602) 242-4928
Fax
(602) 249-4813
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Diora Hays
Title
Clinical Operations Assistant
Phone
(602) 216-1143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0107X Primary

Addresses

Primary practice location

1750 E Glendale Ave
Phoenix, AZ 85020-5505

Mailing address

1750 E Glendale Ave
Phoenix, AZ 85020-5505
Phone (602) 242-4928

Other identifiers 1

IdentifierTypeStateIssuer
299622MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040607001002 AZ Part B Supplier - Clinic/Group Practice 4486547395 Receives reassigned benefits from 18 practitioners
4 other NPIs on this enrollment
Practice locations: Sedona, AZ; Scottsdale, AZ; Prescott Valley, AZ; Prescott, AZ; Phoenix, AZ; Peoria, AZ; Mesa, AZ; Goodyear, AZ…

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory
Tax ID family
Assoc Retina Consultant2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

545 N Peart Rd
Casa Grande, AZ 85122
Phone (520) 316-5590

1626 N Litchfield Rd
Ste 50
Goodyear, AZ 85395

1626 N Litchfield Rd
Ste 250
Goodyear, AZ 85395

1933 S Alma School Rd
Mesa, AZ 85210

7600 N 15th St
Ste 155
Phoenix, AZ 85020
Phone (602) 216-1144

2517 N Great Western Dr
Ste K
Prescott Valley, AZ 86314

14500 N Northsight Blvd
Ste 121
Scottsdale, AZ 85260
Phone (602) 216-1141

4753 E Camp Lowell Dr
#O
Tucson, AZ 85712
Phone (520) 881-1400

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1164633160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 E GLENDALE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205505",
            "telephone_number": "602-242-4928",
            "fax_number": "602-249-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 E GLENDALE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205505",
            "telephone_number": "602-242-4928",
            "fax_number": "602-249-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED RETINA CONSULTANTS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "HAYS",
        "authorized_official_first_name": "DIORA",
        "authorized_official_title_or_position": "CLINICAL OPERATIONS ASSISTANT",
        "authorized_official_telephone_number": "602-216-1143"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "299622",
            "state": "AZ"
        }
    ],
    "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 Apr 4, 2024; 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.