NPIMap

Organization Active NPI

Associated Ophthalmologist

Doing business as Arizona Eye Specialist

  • Ophthalmology Physician
  • Glendale, AZ
National Provider Identifier
1245561000
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ASSOCIATED OPHTHALMOLOGIST
Doing business as
Arizona Eye Specialist
Practice address
5620 W Thunderbird Rd Ste B1
Glendale, AZ 85306-4638
Phone
(602) 547-2002
Fax
(480) 990-7364
NPI assigned
Jan 19, 2010
Last updated
Apr 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Authorized official

Name
Brandi Reshetar
Title
Cfo
Phone
(480) 990-7271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

5620 W Thunderbird Rd Ste B1
Glendale, AZ 85306-4638

Mailing address

7245 E Osborn Rd
#4
Scottsdale, AZ 85251
Phone (480) 994-5012

Other names 1

  • Arizona Eye Specialist Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Charles R Holland MD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

7245 E Osborn Rd
Ste 4
Scottsdale, AZ 85251
Phone (480) 994-5012

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1245561000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7245 E OSBORN RD",
            "address_2": "#4",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85251",
            "telephone_number": "480-994-5012",
            "fax_number": "480-990-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 W THUNDERBIRD RD STE B1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064638",
            "telephone_number": "602-547-2002",
            "fax_number": "480-990-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED OPHTHALMOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "RESHETAR",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "480-990-7271"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Eye Specialist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arizona Eye Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 27, 2023; 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.