NPIMap

Organization Active NPI

Swagel-Wootton Eye Center, Inc

Doing business as Aztec Optical

  • Eyewear Supplier
  • Mesa, AZ
National Provider Identifier
1295749091
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
17689 Issued in AZ
Legal business name
SWAGEL-WOOTTON EYE CENTER, INC
Doing business as
Aztec Optical
Practice address
220 S 63Rd St
Mesa, AZ 85206-1619
Phone
(480) 641-3937
Fax
(480) 924-5094
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Authorized official

Name
Christian Ellison
Title
Ceo
Phone
(720) 273-7449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 17689 AZ Primary

Addresses

Primary practice location

220 S 63Rd St
Mesa, AZ 85206-1619

Mailing address

PO Box 200414
Dallas, TX 75320-3941
Phone (720) 514-1001

Other names 1

  • Aztec Optical Doing business as

National Provider Directory

National Provider Directory

Locations

3940 S Alma School Rd
#A2
Chandler, AZ 85248
Phone (480) 786-3937

Practitioners & affiliated clinicians

Practitioners 11

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": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1295749091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200414",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753203941",
            "telephone_number": "720-514-1001",
            "fax_number": "720-524-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S 63RD ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061619",
            "telephone_number": "480-641-3937",
            "fax_number": "480-924-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAGEL-WOOTTON EYE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-273-7449"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "AZ",
            "license": "17689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aztec Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.