Individual provider Active NPI

George Paul, O.D.

  • Optometrist
  • Tempe, AZ
National Provider Identifier
1205205457
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002590 Issued in AZ
Practice address
7511 S McClintock Dr Ste 101
Tempe, AZ 85283-5041
Phone
(480) 967-4910
NPI assigned
Sep 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008335 NY
Optometrist 152W00000X 27OA00662900 NJ
Optometrist 152W00000X OPT-002590 AZ Primary

Addresses

Primary practice location

7511 S McClintock Dr Ste 101
Tempe, AZ 85283-5041

Mailing address

7511 S McClintock Dr Ste 101
Tempe, AZ 85283-5041
Phone (480) 967-4910

Other practice location 1

380 Route 202
Somers Eye Center
Somers, NY 10589-3222
Phone (914) 205-7588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170922001073 NY Practitioner - Optometry 7911271440 Reassigns benefits to 2 organizations
I20230914000630 AZ Practitioner - Optometry 7911271440 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John N Chrisagis O D P CGroup PAC ID 6406832997, 4 clinicians

Practice addresses (Care Compare)

7511 S McClintock Dr
Tempe, AZ 85283-5041
Phone (480) 967-4910

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-002590AZMDOptometrist
27OA00662900NJMDOptometrist
TUV008335NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
John N Chrisagis O D P C Optometrist CurrentSince Jul 30, 2023 Accepting new patients
San Tan Eyecare PLC Optometrist CurrentSince Jul 30, 2023 Accepting new patients
200 West Optics, LLC Optometrist CurrentSince Aug 30, 2021 Accepting new patients
200 West Optics, LLC Optometrist CurrentSince Aug 30, 2021 Accepting new patients
San Tan Eyecare - Paradise Valley, PLLC Optometrist CurrentSince Mar 13, 2024 Accepting new patients

Locations

2680 S Val Vista Dr
Ste 111
Gilbert, AZ 85295
Phone (480) 648-0950

4550 E Bell Rd
Ste 104
Phoenix, AZ 85032
Phone (602) 661-6519

7511 S McClintock Dr
Tempe, AZ 85283
Phone (480) 967-4910

7511 S McClintock Dr
Ste 101
Tempe, AZ 85283
Phone (480) 967-4910

380 Route 202
Somers, NY 10589
Phone (914) 276-3030

1765 Central Park Ave
Yonkers, NY 10710
Phone (914) 961-1004

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 6

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": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1205205457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7511 S MCCLINTOCK DR STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835041",
            "telephone_number": "480-967-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7511 S MCCLINTOCK DR STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835041",
            "telephone_number": "480-967-4910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 Route 202",
            "address_2": "Somers Eye Center",
            "address_purpose": "LOCATION",
            "city": "Somers",
            "state": "NY",
            "postal_code": "105893222",
            "country_code": "US",
            "telephone_number": "914-205-7588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUL",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-17",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008335",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00662900",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.