Individual provider Active NPI

Alexandra Marquez, LDO

  • Optometric Technician
  • Glendale, AZ
National Provider Identifier
1225822471
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Optometric TechnicianTaxonomy code 156FX1202X
License
LDO-003109 Issued in AZ
Practice address
5010 N 95TH Ave
Glendale, AZ 85305-3042
NPI assigned
Apr 4, 2025
Last updated
Apr 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometric Technician 156FX1202X LDO-003109 AZ Primary

Addresses

Primary practice location

5010 N 95TH Ave
Glendale, AZ 85305-3042

Mailing address

7214 W Vogel Ave
Peoria, AZ 85345-7293
Phone (623) 570-6583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LDO-003109AZMDOptometric Technician

NPI Registry JSON

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1225822471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7214 W VOGEL AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853457293",
            "telephone_number": "623-570-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 N 95TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "ALEXANDRA",
        "credential": "LDO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1202X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optometric Technician",
            "state": "AZ",
            "license": "LDO-003109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.