Individual provider Active NPI

Jonathan G Stock, MD

  • Ophthalmology Physician
  • Mesa, AZ
National Provider Identifier
1356394712
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
50043 Issued in AZ
Practice address
160 W University Dr
Mesa, AZ 85201-5833
Phone
(480) 833-0014
Fax
(480) 835-7551
NPI assigned
May 18, 2006
Last updated
Nov 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 26502-020 WI
Ophthalmology Physician 207W00000X 50043 AZ Primary

Addresses

Primary practice location

160 W University Dr
Mesa, AZ 85201-5833

Mailing address

4800 N 22ND St Ste 210
Phoenix, AZ 85016-4963
Phone (480) 833-0014

Other practice location 1

2125 W Indian School Rd
Phoenix, AZ 85015-4908
Phone (602) 274-4992

Other practice location 2

5620 W Thunderbird Rd Ste C5
Glendale, AZ 85306-4639
Phone (602) 274-4992

Other identifiers 4

IdentifierTypeStateIssuer
31921900MedicaidWI
3311OtherWIDEAN HEALTH INSURANCE
1013684OtherWIPHYSICIANS PLUS
988330MedicaidAZ

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150512002734 AZ Practitioner - Ophthalmology 8729998695 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Wisconsin, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5250 E Southern Ave
Mesa, AZ 85206-2747
Phone (602) 955-1000

Merit-based Incentive Payment System (MIPS)

Final score
83.86 of 100Reported as group
Quality
81.82
Promoting interoperability
100
Improvement activities
40
Cost
64.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50043AZMDOphthalmology Physician
26502-020WIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Eye Center LTD Ophthalmology CurrentSince Sep 1, 2021 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Sep 1, 2021 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Ophthalmology Current Accepting new patients
Southwestern Eye Center, LTD CurrentSince Sep 1, 2021 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Ophthalmology CurrentSince Sep 1, 2021 Accepting new patients

Locations

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

5285 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 903-0922

5620 W Thunderbird Rd
Ste C5
Glendale, AZ 85306
Phone (602) 274-4992

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

1055 S Stapley Dr
Mesa, AZ 85204
Phone (480) 833-9100

160 W University Dr
Mesa, AZ 85201
Phone (480) 688-5859

160 W University Dr
Ste 1
Mesa, AZ 85201
Phone (480) 833-0014

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

5250 E Southern Ave
Mesa, AZ 85206
Phone (480) 420-1005

8435 E Baseline Rd
Ste 101
Mesa, AZ 85209
Phone (480) 373-0860

2125 W Indian School Rd
Phoenix, AZ 85015
Phone (602) 274-4992

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

4800 N 22nd St
Ste 200
Phoenix, AZ 85016

4800 N 22nd St
Ste 210
Phoenix, AZ 85016
Phone (602) 598-7488

825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930

2370 W State Route 89A
Ste 16A17A18
Sedona, AZ 86336
Phone (928) 282-1231

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

5632 E 5th St
Tucson, AZ 85711
Phone (520) 584-8888

698 E Wetmore Rd
Ste 100
Tucson, AZ 85705
Phone (520) 690-5707

2149 W 24th St
Yuma, AZ 85364
Phone (928) 726-1100

Interoperability endpoints

  • Direct secure messaging: jonathan.stock.p11@direct.avp.nextgenshare.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1356394712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N 22ND ST STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164963",
            "telephone_number": "480-833-0014",
            "fax_number": "480-835-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 W UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015833",
            "telephone_number": "480-833-0014",
            "fax_number": "480-835-7551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2125 W Indian School Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850154908",
            "country_code": "US",
            "telephone_number": "602-274-4992",
            "fax_number": "602-508-4830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5620 W Thunderbird Rd Ste C5",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853064639",
            "country_code": "US",
            "telephone_number": "602-274-4992",
            "fax_number": "602-508-4830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOCK",
        "first_name": "JONATHAN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "26502-020",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "50043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31921900",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH INSURANCE",
            "identifier": "3311",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS PLUS",
            "identifier": "1013684",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "988330",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.