Valley Retina Surgeons LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

36025 Issued in AZ

Legal business name

VALLEY RETINA SURGEONS LLC

Practice address

20118 N 67TH Ave
Suite 300-240
Glendale, AZ 85308-4621

Phone

(623) 773-3937

Fax

(623) 773-3955

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Min C Kim, MDNPI 1295833192

Title

Manager

Phone

(623) 773-3937

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Min Cheol Kim, MD

  • Ophthalmology Physician
  • Peoria, AZ
  • NPI 1295833192
  NPD Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306996541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11977",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853181977",
            "telephone_number": "623-773-3937",
            "fax_number": "623-773-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20118 N 67TH AVE",
            "address_2": "SUITE 300-240",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084621",
            "telephone_number": "623-773-3937",
            "fax_number": "623-773-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY RETINA SURGEONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "623-773-3937",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "36025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Life Solutions LLC
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• Valley of the Sun Home Healthcare, LLC
• Valley Oximetry Incorporated
• Valley Premiere Medical ,LLC
• Valley Sleep Therapy Inc
• Valley Vascular & Thoracic Surgical Solutions LLC
• Alanah M Van Dam, RBT
• Joni Dawn Van Horn, RN
• Jamie Van Leuven

• Ophthalmology Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.