Individual provider Active NPI

Susie Gill, OD

  • Optometrist
  • Scottsdale, AZ
National Provider Identifier
1366613010
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1664 Issued in AZ
Practice address
7245 E Osborn Rd Ste 4
Scottsdale, AZ 85251-6443
Phone
(480) 994-5012
NPI assigned
Mar 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1664 AZ Primary
Optometrist 152W00000X 4609 MA

Addresses

Primary practice location

7245 E Osborn Rd Ste 4
Scottsdale, AZ 85251-6443

Mailing address

2111 E Highland Ave Ste B240
Phoenix, AZ 85016-4741
Phone (480) 994-5012

Other identifiers 1

IdentifierTypeStateIssuer
711616MedicaidAZ

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090813000395 AZ Practitioner - Optometry 7214081041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Ophthalmologists LTDGroup PAC ID 8325024805, 17 clinicians

Practice addresses (Care Compare)

7245 E Osborn Rd
Suite 4
Scottsdale, AZ 85251-6443
Phone (602) 991-5012

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as apm
Quality
90.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4609MAMDOptometrist
1664AZMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cigna Health Care of Arizona Inc. CurrentSince Aug 6, 2012 Accepting new patients
Associated Ophthalmologists LTD CurrentSince Sep 1, 2024 Accepting new patients
Robert Brems MD PC Past Accepting new patients
Visionworks Inc Past Accepting new patients
Brian T. Rose, MD, PLC PastSince Sep 1, 2004 Accepting new patients
Associated Ophthalmologist, LTD Optometrist Past Accepting new patients
Tom Sowash OD & Associates PC Optometrist Past Accepting new patients

Locations

23480 N Sundance Pkwy
Ste 101
Buckeye, AZ 85326
Phone (480) 994-5012

4915 E Baseline Rd
Ste 114
Gilbert, AZ 85234
Phone (480) 830-0012

5620 W Thunderbird Rd
Ste H3
Glendale, AZ 85306
Phone (480) 994-5012

5620 W Thunderbird Rd
Ste B1
Glendale, AZ 85306
Phone (602) 938-2422

13555 W McDowell Rd
Ste 102
Goodyear, AZ 85395
Phone (623) 200-0020

2855 E Brown Rd
Ste 10
Mesa, AZ 85213
Phone (480) 969-1000

2302 N 75th Ave
Phoenix, AZ 85035
Phone (623) 849-7500

3805 E Bell Rd
Ste 2100
Phoenix, AZ 85032
Phone (602) 404-5200

300 E Osborn Rd
Ste 100
Phoenix, AZ 85012
Phone (602) 200-0770

7245 E Osborn Rd
Ste 4
Scottsdale, AZ 85251
Phone (480) 994-5012

7373 N Scottsdale Rd
Ste D100
Scottsdale, AZ 85253

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

9746 N 90th Pl
Ste 101
Scottsdale, AZ 85258
Phone (480) 391-0020

7571 S Willow Dr
Tempe, AZ 85283

7571 S Willow Dr
Ste 101
Tempe, AZ 85283
Phone (480) 822-6230

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1366613010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 E HIGHLAND AVE STE B240",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164741",
            "telephone_number": "480-994-5012",
            "fax_number": "480-990-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7245 E OSBORN RD STE 4",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516443",
            "telephone_number": "480-994-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "SUSIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-20",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1664",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4609",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "711616",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.