Ophthalmic Consultants of Arizona, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

OPHTHALMIC CONSULTANTS OF ARIZONA, LLC

Practice address

7840 E State Route 69 Ste A5A
Prescott Valley, AZ 86314-2280

Phone

(928) 775-9393

Fax

(928) 772-1279

NPI assigned

Mar 4, 2020

Organization subpart

No

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

Authorized official

Name

Jared G Smedley, MD

Title

Member

Phone

(928) 775-9393

Specialties & licenses 1

Addresses

Other names 1

• Yavapai Eye Care Surgery Center Doing business as

Tax ID family

Ophthalmic Consultants of Arizona LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ophthalmic Consultants of Arizona, LLC

  • Clinic/Center
  • Prescott Valley, AZ
  • NPI 1891320453
  NPD tax ID

Locations

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1366077927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 N GLASSFORD HILL RD STE 101",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142256",
            "telephone_number": "928-771-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7840 E STATE ROUTE 69 STE A5A",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142280",
            "telephone_number": "928-775-9393",
            "fax_number": "928-772-1279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5374 N Hondo Dr",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863149343",
            "country_code": "US",
            "telephone_number": "928-775-9393",
            "fax_number": "928-772-1279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPHTHALMIC CONSULTANTS OF ARIZONA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "SMEDLEY",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "928-775-9393",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yavapai Eye Care Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elisa Olivier-Nielsen, RDN
• Maren Michele Olsen, PHARMD
• Kizmi Levens Olson, P.T.
• Stacy Olson
• One Psychological Services
• Ophthalmic Consultants of Arizona, LLC
• Janice Ormsby, DC
• Kenneth Ortega
• Henry Kwabena Osei, MD
• Kristin Lara Ott, PT, MPT

• Clinic/Center in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.