Phoenix Optics, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PHOENIX OPTICS, LLC

Practice address

5890 W Bell Rd Ste 101a
Glendale, AZ 85308-3884

Phone

(561) 275-2020

Fax

(561) 828-8367

NPI assigned

Sep 7, 2022

Organization subpart

No

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

Authorized official

Name

Daniel Garza

Title

Managed Care Director

Phone

(561) 720-6423

Specialties & licenses 2

Addresses

Other names 1

• My EyeLab Doing business as

Tax ID family

My Eyelab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Phoenix Optics, LLC

  • Eyewear Supplier
  • Glendale, AZ
  • NPI 1679294078
  NPD tax ID

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1225759319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5890 W BELL RD STE 101A",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083884",
            "telephone_number": "561-275-2020",
            "fax_number": "561-828-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5890 W BELL RD STE 101A",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083884",
            "telephone_number": "561-275-2020",
            "fax_number": "561-828-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX OPTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGED CARE DIRECTOR",
        "authorized_official_telephone_number": "561-720-6423"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My EyeLab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My EyeLab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phoenix Heart, PLLC
• Phoenix Medical Group, PC
• Phoenix Oasis Recovery Homes Inc.
• Phoenix Oasis Recovery Homes Inc.
• Phoenix Oasis Recovery Homes Inc.
• Phoenix Optics, LLC
• Phoenix Orthopaedic Consultants, P.C.
• Phoenix Psychological Services, P.C.
• Phoenix Wisdom Teeth, LLC
• Physical Therapy Solutions LLC

• Optometrist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.