Individual provider Active NPI

Janice Pierce, OD

  • Optometrist
  • Mesa, AZ
National Provider Identifier
1215214606
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2100 Issued in AZ
Practice address
220 S 63Rd St
Mesa, AZ 85206-1619
Phone
(480) 641-3937
Fax
(480) 924-5072
NPI assigned
Nov 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2100 AZ Primary

Addresses

Primary practice location

220 S 63Rd St
Mesa, AZ 85206-1619

Mailing address

3900 E Mexico Ave Ste 102
Denver, CO 80210-3941
Phone (720) 524-1001

Other practice location 1

3940 S Alma School Rd Ste 3
Chandler, AZ 85248-4513
Phone (480) 786-6086

Other identifiers 1

IdentifierTypeStateIssuer
1215214606OtherNPI

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
I20151222000481 AZ Practitioner - Optometry 4385945005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swagel-Wootton Eye Center, IncGroup PAC ID 9335130046, 10 clinicians

Practice addresses (Care Compare)

220 S 63Rd St
Mesa, AZ 85206-1619
Phone (480) 641-3937

3940 S Alma School Rd
Suite 3
Chandler, AZ 85248-4513
Phone (480) 786-3937

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2100AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Swagel-Wootton Eye Center, Inc Current Accepting new patients

Locations

3940 S Alma School Rd
Ste 3
Chandler, AZ 85248
Phone (480) 641-3937

220 S 63rd St
Mesa, AZ 85206
Phone (480) 641-3937

3900 E Mexico Ave
Ste 102
Denver, CO 80210
Phone (303) 800-2078

Interoperability endpoints

  • Direct secure messaging: janice.pierce.p3@direct.keec.nextgenshare.com

Organizations & group practices 2

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": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1215214606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 E MEXICO AVE STE 102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103941",
            "telephone_number": "720-524-1001",
            "fax_number": "720-524-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S 63RD ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061619",
            "telephone_number": "480-641-3937",
            "fax_number": "480-924-5072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3940 S Alma School Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852484513",
            "country_code": "US",
            "telephone_number": "480-786-6086",
            "fax_number": "480-786-3956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "JANICE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-14",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1215214606",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.