Individual provider Active NPI

Annette Leigh Hanian, OD

  • Optometrist
  • Scottsdale, AZ
National Provider Identifier
1265420715
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
917 Issued in AZ
Practice address
14100 N Northsight Blvd
Scottsdale, AZ 85260
Phone
(480) 443-1150
Fax
(480) 443-7393
NPI assigned
Oct 10, 2005
Last updated
Sep 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 917 AZ Primary

Addresses

Primary practice location

14100 N Northsight Blvd
Scottsdale, AZ 85260

Mailing address

14100 N Northsight Blvd
Scottsdale, AZ 85260-3628
Phone (480) 443-1150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050928000018 AZ Practitioner - Optometry 0547295644 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14100 N Northsight Blvd
Scottsdale, AZ 85260-3628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
917AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Vison Care Center LLC Optometrist PastSince Aug 22, 2013 Accepting new patients

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.

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1265420715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 N NORTHSIGHT BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603628",
            "telephone_number": "480-443-1150",
            "fax_number": "480-443-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 N NORTHSIGHT BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-443-1150",
            "fax_number": "480-443-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANIAN",
        "first_name": "ANNETTE",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.