Organization Active NPI

Affiliated Ophthalmic SVC

  • Ophthalmology Physician
  • Phoenix, AZ
National Provider Identifier
1184769028
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
Dr. E Fredrick Bloemker, MDNPI 1225011505
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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
CS2496OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.