NPIMap

Organization Active NPI

Associated Ophthalmologist

Doing business as Arizona Eye Specialist

  • Ophthalmology Physician
  • Phoenix, AZ
National Provider Identifier
1316278161
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ASSOCIATED OPHTHALMOLOGIST
Doing business as
Arizona Eye Specialist
Practice address
300 E Osborn Rd
#100
Phoenix, AZ 85012
Phone
(602) 254-7255
Fax
(480) 990-7364
NPI assigned
Jan 19, 2010
Last updated
Jan 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Authorized official

Name
Brandi Reshetar
Title
Cfo
Phone
(480) 990-7271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

300 E Osborn Rd
#100
Phoenix, AZ 85012

Mailing address

7245 E Osborn Rd
#4
Scottsdale, AZ 85251
Phone (480) 990-7361

Other names 1

  • Arizona Eye Specialist Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Charles R Holland MD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1316278161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7245 E OSBORN RD",
            "address_2": "#4",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85251",
            "telephone_number": "480-990-7361",
            "fax_number": "480-990-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E OSBORN RD",
            "address_2": "#100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85012",
            "telephone_number": "602-254-7255",
            "fax_number": "480-990-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED OPHTHALMOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "RESHETAR",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "480-990-7271"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Eye Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 19, 2010; 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.