NPIMap

Organization Active NPI

Family Eyecare Associates of Az PLC

  • Optometrist
  • Glendale, AZ
National Provider Identifier
1316081805
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
527 Issued in AZ
Legal business name
FAMILY EYECARE ASSOCIATES OF AZ PLC
Practice address
6120 W Bell Rd
Suite 130
Glendale, AZ 85308-3781
Phone
(602) 843-2900
Fax
(602) 843-2300
NPI assigned
Feb 16, 2007
Last updated
May 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Authorized official

Name
Stuart G Bark, O DNPI 1841302544
Title
Owner Manager
Phone
(480) 419-3900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 527 AZ Primary

Addresses

Primary practice location

6120 W Bell Rd
Suite 130
Glendale, AZ 85308-3781

Mailing address

6120 W Bell Rd
Suite 130
Glendale, AZ 85308-3781
Phone (602) 843-2900

National Provider Directory

National Provider Directory
Tax ID family
Family Eyecare Associates of Az PLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1316081805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 W BELL RD",
            "address_2": "SUITE 130",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083781",
            "telephone_number": "602-843-2900",
            "fax_number": "602-843-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 W BELL RD",
            "address_2": "SUITE 130",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083781",
            "telephone_number": "602-843-2900",
            "fax_number": "602-843-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYECARE ASSOCIATES OF AZ PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "BARK",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "480-419-3900",
        "authorized_official_credential": "O D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.