Arizona Red Mountain Eyecare PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

AZ1445 Issued in AZ

Legal business name

ARIZONA RED MOUNTAIN EYECARE PC

Practice address

6136 E Brown Rd Ste 102
Mesa, AZ 85205-4961

Phone

(480) 985-6211

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy Olsen, O.D.NPI 1750352795

Title

President

Phone

(480) 985-6211

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Jeremy J Olsen, OD

  • Optometrist
  • Mesa, AZ
  • NPI 1750352795
  Medicare reassignment Care Compare group Authorized official
• Stephanie Ann Pilcher, OD

  • Optometrist
  • Gilbert, AZ
  • NPI 1124645825
  Medicare reassignment Care Compare group NPD
• Joseph Bailey, OD

  • Optometrist
  • Phoenix, AZ
  • NPI 1720630031
  Medicare reassignment NPD

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336289495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6136 E BROWN RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6136 E BROWN RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054961",
            "telephone_number": "480-985-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA RED MOUNTAIN EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-985-6211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "AZ1445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Arizona Retina Associates, PLLC
• Arizona Senior Community Resources
• Arizona Skin and Laser Therapy Institute, LTD
• Arizona Spine and Joint Hospital LLC

• Optometrist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Optometrist 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.