NPIMap

Organization Active NPI

Advanced Laser &Eye Center of Arizona PC

  • Ophthalmology Physician
  • Gilbert, AZ
National Provider Identifier
1245284934
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
22618 Issued in AZ
Legal business name
ADVANCED LASER &EYE CENTER OF ARIZONA PC
Practice address
3303 E Baseline Rd
#104
Gilbert, AZ 85234-2739
Phone
(480) 632-2020
Fax
(480) 632-2121
NPI assigned
May 19, 2006
Last updated
Jan 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Authorized official

Name
Kianoush Kian, MD
Title
Owner President
Phone
(480) 632-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 22618 AZ Primary

Addresses

Primary practice location

3303 E Baseline Rd
#104
Gilbert, AZ 85234-2739

Mailing address

3303 E Baseline Rd
#104
Gilbert, AZ 85234-2739
Phone (480) 632-2020

Other identifiers 3

IdentifierTypeStateIssuer
1009192OtherAZAETNA INS CO
33209OtherEVERCARE
3Z3345OtherAZHEALTHNET

National Provider Directory

National Provider Directory

Locations

3303 E Baseline Rd
Ste 103
Gilbert, AZ 85234
Phone (480) 632-2020

21321 E Ocotillo Rd
Ste 114
Queen Creek, AZ 85142
Phone (480) 461-1088

4920 S Alma School Rd
Ste 3
Sun Lakes, AZ 85248
Phone (480) 632-2020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1245284934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 E BASELINE RD",
            "address_2": "#104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342739",
            "telephone_number": "480-632-2020",
            "fax_number": "480-632-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 E BASELINE RD",
            "address_2": "#104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342739",
            "telephone_number": "480-632-2020",
            "fax_number": "480-632-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED LASER &EYE CENTER OF ARIZONA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "KIAN",
        "authorized_official_first_name": "KIANOUSH",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "480-632-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "22618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INS CO",
            "identifier": "1009192",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "33209",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3Z3345",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.