Active NPI
Affiliated Ophthalmic SVC
- Ophthalmology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- AFFILIATED OPHTHALMIC SVC
- Practice address
- 500 W Thomas Rd
Suite #250
Phoenix, AZ 85013-4224 - Phone
- (602) 263-9345
- NPI assigned
- Feb 20, 2007
- Last updated
- Nov 19, 2007
- 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. E Fredrick Bloemker, MD
- Title
- President
- Phone
- (602) 955-5104
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
500 W Thomas Rd
Suite #250
Phoenix, AZ 85013-4224
Mailing address
3500 E Lincoln Dr # 30
Phoenix, AZ 85018-1010
Phone (602) 955-5104
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CS2496 | Other | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
500 W Thomas Rd
Ste 250
Phoenix, AZ 85013
Phone (602) 263-9345
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Ophthalmology Physician
- Phoenix, AZ
- NPI 1225011505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195430400000",
"number": "1184769028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 E LINCOLN DR # 30",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850181010",
"telephone_number": "602-955-5104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W THOMAS RD",
"address_2": "SUITE #250",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134224",
"telephone_number": "602-263-9345"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFFILIATED OPHTHALMIC SVC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2007-11-19",
"status": "A",
"authorized_official_last_name": "BLOEMKER",
"authorized_official_first_name": "E",
"authorized_official_middle_name": "FREDRICK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "602-955-5104",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CS2496",
"state": null
}
],
"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 Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.