Active NPI
Valley Eye Associates PLLC
- Optometrist
- Phoenix, AZ
National Provider Identifier
1275964264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1118
- Legal business name
- VALLEY EYE ASSOCIATES PLLC
- Practice address
- 6145 N 35TH Ave
Phoenix, AZ 85017-1940 - Phone
- (602) 973-6567
- Fax
- (623) 551-9120
- NPI assigned
- Dec 2, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas Robert Czyz, OD
- Title
- Member/Manager/Owner
- Phone
- (602) 405-2120
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1118 | AZ | Primary |
| Optometrist | 152W00000X | 1146 | AZ | |
| Corneal and Contact Management Optometrist | 152WC0802X | 1118 | AZ | |
| Corneal and Contact Management Optometrist | 152WC0802X | 1146 | AZ | |
| Pediatric Optometrist | 152WP0200X | 1118 | AZ | |
| Pediatric Optometrist | 152WP0200X | 1146 | AZ |
Addresses
Primary practice location
6145 N 35TH Ave
Phoenix, AZ 85017-1940
Mailing address
12437 N 80TH PL
Scottsdale, AZ 85260-5204
Phone (602) 405-2120
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1385942400000",
"number": "1275964264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12437 N 80TH PL",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852605204",
"telephone_number": "602-405-2120",
"fax_number": "623-551-9120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6145 N 35TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850171940",
"telephone_number": "602-973-6567",
"fax_number": "623-551-9120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY EYE ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-02",
"last_updated": "2013-12-02",
"status": "A",
"authorized_official_last_name": "CZYZ",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "MEMBER/MANAGER/OWNER",
"authorized_official_telephone_number": "602-405-2120",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "AZ",
"license": "1118",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "AZ",
"license": "1146",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": "AZ",
"license": "1118",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": "AZ",
"license": "1146",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Pediatrics",
"state": "AZ",
"license": "1118",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Pediatrics",
"state": "AZ",
"license": "1146",
"primary": false
}
],
"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 Dec 2, 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.