Individual provider Active NPI

Katerina Dasen, O.D.

  • Optometrist
  • Scottsdale, AZ
National Provider Identifier
1194080853
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.001863 Issued in AZ
Practice address
4441 N 75TH St
Scottsdale, AZ 85251-3506
Phone
(480) 947-4349
Fax
(480) 423-9080
NPI assigned
Jul 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.001863 AZ Primary

Addresses

Primary practice location

4441 N 75TH St
Scottsdale, AZ 85251-3506

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

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
I20120815000615 AZ Practitioner - Optometry 7416103940 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Washington PLLCGroup PAC ID 4486186657, 50 clinicians
Eyecare Plus ScottsdaleGroup PAC ID 3274633946, 2 clinicians

Practice addresses (Care Compare)

3170 W Carefree Hwy
Suite 3
Phoenix, AZ 85086-3240
Phone (623) 444-2425

4441 N 75TH St
Scottsdale, AZ 85251-3506
Phone (480) 947-4349

4925 S Alma School Rd
Suite 1
Chandler, AZ 85248-5634
Phone (480) 883-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1863AZMDPsychologist
OPT.001863AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Plus Scottsdale Optometrist CurrentSince Oct 23, 2025 Accepting new patients
LCD Professionals,PC Optometrist CurrentSince Oct 23, 2025 Accepting new patients
The Pilates PT Physical Therapy Inc PastSince May 22, 2017 Accepting new patients
Myeyedr Optometry of Washington, PLLC Optometrist Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

4925 S Alma School Rd
Ste 1
Chandler, AZ 85248
Phone (480) 415-3241

4441 N 75th St
Scottsdale, AZ 85251
Phone (480) 947-4349

Organizations & group practices 5

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": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1194080853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 N 75TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513506",
            "telephone_number": "480-947-4349",
            "fax_number": "480-423-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASEN",
        "first_name": "KATERINA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT.001863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.