Organization Active NPI

Oculist Exceptional Eyewear PLLC

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1245679604
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1738 Issued in AZ
Legal business name
OCULIST EXCEPTIONAL EYEWEAR PLLC
Practice address
5043-B N 7TH Ave
Phoenix, AZ 85013
Phone
(602) 266-0624
NPI assigned
Jun 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Authorized official

Name
Angela Marquez, O.D.
Title
Doctor
Phone
(602) 266-0624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1738 AZ Primary

Addresses

Primary practice location

5043-B N 7TH Ave
Phoenix, AZ 85013

Mailing address

5043-B N 7TH Ave
Phoenix, AZ 85013
Phone (602) 266-0624

National Provider Directory

National Provider Directory

Locations

5043B N 7th Ave
Phoenix, AZ 85013
Phone (602) 266-0624

5043 N 7th Ave
Phoenix, AZ 85013
Phone (602) 266-0624

2230 N 24th St
Phoenix, AZ 85008
Phone (602) 266-0624

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1245679604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5043-B N 7TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85013",
            "telephone_number": "602-266-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5043-B N 7TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85013",
            "telephone_number": "602-266-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCULIST EXCEPTIONAL EYEWEAR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "602-266-0624",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.