Organization Active NPI

Valley Eye Associates PLLC

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1275964264
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1118 Issued in AZ
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

Updated by the provider on Dec 2, 2013

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 1118 AZ Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 1146 AZ
Corneal and Contact Management OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WC0802X 1118 AZ
Corneal and Contact Management OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WC0802X 1146 AZ
Pediatric OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WP0200X 1118 AZ
Pediatric OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.