Organization Active NPI

Eyecare Plus Scottsdale

  • Optometrist
  • Scottsdale, AZ
National Provider Identifier
1285830687
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYECARE PLUS SCOTTSDALE
Practice address
4441 N 75TH St
Scottsdale, AZ 85251-3506
Phone
(480) 947-4349
NPI assigned
Jun 22, 2007
Last updated
Nov 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Dr. Maury M. KesslerNPI 1326143785
Title
President
Phone
(480) 947-4349

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
Optometrist 152W00000X Primary

Addresses

Primary practice location

4441 N 75TH St
Scottsdale, AZ 85251-3506

Mailing address

4441 N 75TH St
Scottsdale, AZ 85251-3506

Other identifiers 1

IdentifierTypeStateIssuer
AZ0902220OtherAZBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070710000724 AZ Part B Supplier - Clinic/Group Practice 3274633946 Receives reassigned benefits from 2 practitioners
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

4441 N 75th St
Scottsdale, AZ 85251
Phone (480) 947-4349

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1285830687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 N 75TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 N 75TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513506",
            "telephone_number": "480-947-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE PLUS SCOTTSDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "KESSLER",
        "authorized_official_first_name": "MAURY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-947-4349",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0902220",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.