Optics of Scottsdale LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

973 Issued in AZ

Legal business name

OPTICS OF SCOTTSDALE LLC

Practice address

20301 N Hayden Rd
Suite 100
Scottsdale, AZ 85255-3881

Phone

(480) 991-0509

NPI assigned

Dec 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jill Ingram Rago, ODNPI 1003986183

Title

Optometrist

Phone

(480) 563-0908

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

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

• Jill Rago

  • Optometrist
  • Scottsdale, AZ
  • NPI 1003986183
  Medicare reassignment Care Compare group NPD Authorized official
• Sophie Robinson Ambrose, O.D.

  • Optometrist
  • Scottsdale, AZ
  • NPI 1790136760
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1346423266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20301 N HAYDEN RD",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553881",
            "telephone_number": "480-991-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20301 N HAYDEN RD",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553881",
            "telephone_number": "480-991-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICS OF SCOTTSDALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "RAGO",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "INGRAM",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "480-563-0908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.