Organization Active NPI

Aaa Advanced Eye Care Center PLC

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1265295232
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
AAA ADVANCED EYE CARE CENTER PLC
Practice address
3375 E Shea Blvd Ste B1
Phoenix, AZ 85028-3361
Phone
(602) 978-4025
NPI assigned
Feb 2, 2024
Organization subpart
Yes
Parent organization
WALEED ALSADI, O.D., P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Waleed Alsadi, ODNPI 1730531443
Title
Owner
Phone
(602) 978-4025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3375 E Shea Blvd Ste B1
Phoenix, AZ 85028-3361

Mailing address

3375 E Shea Blvd Ste B1
Phoenix, AZ 85028-3361
Phone (602) 978-4025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240608000185 AZ Part B Supplier - Clinic/Group Practice 7618419441 Receives reassigned benefits from 2 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory
Part of
Waleed Alsadi OD PC

Locations

3375 E Shea Blvd
Ste B1
Phoenix, AZ 85028
Phone (602) 978-4025

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1265295232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 E SHEA BLVD STE B1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283361",
            "telephone_number": "602-978-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 E SHEA BLVD STE B1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283361",
            "telephone_number": "602-978-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAA ADVANCED EYE CARE CENTER PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALEED ALSADI, O.D., P.C.",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "ALSADI",
        "authorized_official_first_name": "WALEED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-978-4025",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "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 Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.