Organization Active NPI

Az Eyes PLC

  • Optometrist
  • Scottsdale, AZ
National Provider Identifier
1336358944
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
341 Issued in AZ
Legal business name
AZ EYES PLC
Practice address
10267 N Scottsdale Rd
Scottsdale, AZ 85253-1424
Phone
(480) 991-1511
Fax
(480) 991-1514
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Dr. Clark Campbell, O.D.NPI 1043301757
Title
Owner
Phone
(480) 991-1511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 341 AZ Primary

Addresses

Primary practice location

10267 N Scottsdale Rd
Scottsdale, AZ 85253-1424

Mailing address

10267 N Scottsdale Rd
Scottsdale, AZ 85253-1424
Phone (480) 991-1511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070719000607 AZ Part B Supplier - Clinic/Group Practice 0244331387 Receives reassigned benefits from 1 practitioner
Practice locations: Sun City, AZ; Scottsdale, AZ; Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

20819 N Cave Creek Rd
Phoenix, AZ 85024
Phone (602) 788-8080

20819 N Cave Creek Rd
Ste 102
Phoenix, AZ 85024
Phone (602) 257-8280

10267 N Scottsdale Rd
Scottsdale, AZ 85253
Phone (480) 779-7795

Practitioners & affiliated clinicians

Practitioners 3

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1336358944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10267 N SCOTTSDALE RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852531424",
            "telephone_number": "480-991-1511",
            "fax_number": "480-991-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10267 N SCOTTSDALE RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852531424",
            "telephone_number": "480-991-1511",
            "fax_number": "480-991-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ EYES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "CLARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-991-1511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.