Individual provider Active NPI

Kelsey Harraghy, OD

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1326653528
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002459 Issued in AZ
Practice address
4745 N 7TH St Ste 145
Phoenix, AZ 85014-3665
Phone
(602) 265-8597
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-002459 AZ Primary

Addresses

Primary practice location

4745 N 7TH St Ste 145
Phoenix, AZ 85014-3665

Mailing address

4745 N 7TH St Ste 145
Phoenix, AZ 85014-3665
Phone (602) 265-8597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200930001267 AZ Practitioner - Optometry 0143649871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Phoenix Eye Care, PLLCGroup PAC ID 7911983408, 4 clinicians

Practice addresses (Care Compare)

4745 N 7TH St
Suite 145
Phoenix, AZ 85014-3665
Phone (602) 265-8597

4745 N 7TH St
Suite 145
Phoenix, AZ 85014-5815

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-002459AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Phoenix Eye Care, PLLC Optometrist CurrentSince Jan 16, 2023 Accepting new patients
Grayhawk Eye Center Past Accepting new patients

Locations

4745 N 7th St
Ste 145
Phoenix, AZ 85014
Phone (602) 265-8597

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1326653528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 N 7TH ST STE 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143665",
            "telephone_number": "602-265-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 N 7TH ST STE 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143665",
            "telephone_number": "602-265-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRAGHY",
        "first_name": "KELSEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.