Family Eyecare of Glendale PLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

12 Issued in AZ

Legal business name

FAMILY EYECARE OF GLENDALE PLC

Practice address

19420 N 59TH Ave
Ste E- 525
Glendale, AZ 85308-6894

Phone

(602) 843-2900

Fax

(602) 843-0233

NPI assigned

May 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. David A Kaplan, O.D.

Title

Owner

Phone

(602) 843-2900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 3

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

• Paige Sorrentino Reasor, OD

  • Optometrist
  • Glendale, AZ
  • NPI 1881256980
  Medicare reassignment Care Compare group NPD
• Marianne Helena Serbyn, OD

  • Optometrist
  • Glendale, AZ
  • NPI 1811851090
  Medicare reassignment Care Compare group NPD
• Robin Blank, O.D.

  • Optometrist
  • Glendale, AZ
  • NPI 1962499434
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1174758874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19420 N. 59TH AVENUE",
            "address_2": "STE E- 525",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "602-843-2900",
            "fax_number": "602-843-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19420 N 59TH AVE",
            "address_2": "STE E- 525",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086894",
            "telephone_number": "602-843-2900",
            "fax_number": "602-843-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYECARE OF GLENDALE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-26",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-843-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brianna Fandialan

• Optometrist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.