Phoenix Ophthalmologists PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

41479 Issued in AZ

Legal business name

PHOENIX OPHTHALMOLOGISTS PA

Practice address

1130 E Missouri Ave Ste 100
Phoenix, AZ 85014-2712

Phone

(602) 995-1166

Fax

(602) 995-1166

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy Vanburen, MDNPI 1689610800

Title

MD

Phone

(602) 995-1166

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 6

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

• Jeremy J. Van Buren, M.D., PH.D.

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1689610800
  Medicare reassignment Care Compare group NPD Authorized official
• Stephanie M Mastores, O.D.

  • Optometrist
  • Phoenix, AZ
  • NPI 1619107588
  Medicare reassignment Care Compare group NPD
• Scott Baker, O.D.

  • Optometrist
  • Cold Spring, KY
  • NPI 1558591321

  AZ

  Medicare reassignment Care Compare group NPD
• Kaci M Kramer-Oldroyd, OD

  • Optometrist
  • Phoenix, AZ
  • NPI 1780651562
  Medicare reassignment NPD
• Benjamin Usleman, O.D.

  • Optometrist
  • Mesa, AZ
  • NPI 1790975647
  Medicare reassignment NPD
• Leanne Nicole Vozel

  • Surgical Technologist
  • Phoenix, AZ
  • NPI 1629795844
  NPD

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356377873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 E MISSOURI AVE STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142712",
            "telephone_number": "602-995-1166",
            "fax_number": "602-995-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 E MISSOURI AVE STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142712",
            "telephone_number": "602-995-1166",
            "fax_number": "602-995-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX OPHTHALMOLOGISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VANBUREN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "602-995-1166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "41479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Oasis Recovery Homes Inc.
• Phoenix Oasis Recovery Homes Inc.
• Phoenix Obstetrics & Gynecology
• Phoenix Oculoplastic Consultants, PLLC
• Phoenix Operations, LLC
• Phoenix Ophthalmology ASC LLC
• Phoenix Oral and Maxillofacial Surgeons
• Phoenix Oral Surgery Associates PLLC
• Phoenix Orthodontics LLC
• Phoenix Orthopaedic Ambulatory Center, LLC

• Ophthalmology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.