Individual provider Active NPI

Joseph Myers, OD

  • Optometrist
  • Surprise, AZ
National Provider Identifier
1184781841
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1558 Issued in AZ
Practice address
12361 W Bola Dr Ste 100
Surprise, AZ 85378-9021
Phone
(602) 767-4124
Fax
(602) 767-4125
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1558 AZ Primary

Addresses

Primary practice location

12361 W Bola Dr Ste 100
Surprise, AZ 85378-9021

Mailing address

12361 W Bola Dr Ste 100
Surprise, AZ 85378-9021
Phone (602) 767-4124

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070207000418 AZ Practitioner - Optometry 9931101714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scottsdale Center for Sight, PLCGroup PAC ID 6305829789, 9 clinicians

Practice addresses (Care Compare)

13613 W Camino del Sol
Suite 2
Sun City West, AZ 85375-4480
Phone 6235842100838882

14269 N 87TH St
Suite 203
Scottsdale, AZ 85260-3695
Phone (480) 483-8882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1558AZMDChild Mental Illness Respite Care

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Center for Sight, PLC CurrentSince Nov 15, 2022 Accepting new patients
Mark J. Page OD PC Optometrist PastSince Jul 1, 2000 Accepting new patients
Nationwide Optometry P.C. Optometrist Past Accepting new patients

Locations

7727 W Deer Valley Rd
Peoria, AZ 85382
Phone (623) 208-7575

14269 N 87th St
Ste 203
Scottsdale, AZ 85260
Phone (480) 483-8882

Interoperability endpoints

  • Direct secure messaging: joe@eyemdaz.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1184781841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12361 W BOLA DR STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789021",
            "telephone_number": "602-767-4124",
            "fax_number": "602-767-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12361 W BOLA DR STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789021",
            "telephone_number": "602-767-4124",
            "fax_number": "602-767-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "JOSEPH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.