Oculoplastic Eye Surgeons of Phoenix

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

44635 Issued in AZ

Legal business name

OCULOPLASTIC EYE SURGEONS OF PHOENIX

Practice address

3811 E Bell Rd
Suite 106
Phoenix, AZ 85032-2138

Phone

(480) 788-1134

NPI assigned

Mar 15, 2016

Organization subpart

No

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

Authorized official

Name

Lisa D Mihora, M.D.

Title

Owner

Phone

(480) 788-1134

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1366803538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22320 N 59TH LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853104264",
            "telephone_number": "480-788-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 E BELL RD",
            "address_2": "SUITE 106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322138",
            "telephone_number": "480-788-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCULOPLASTIC EYE SURGEONS OF PHOENIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "MIHORA",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-788-1134",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "44635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ocotillo Health, LLC
• Ocotillo Pediatric Therapy, LLC
• Octave Behavioral Michigan PC
• Trevor Octavio
• Oculist Exceptional Eyewear PLLC
• Adebukola O Odeleye
• Dawn Roxanne Odell
• Renee Odell, ST
• Odella Home Care Services LLC
• Kimberly Odendahl, COTA/L

• 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 Mar 15, 2016; 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.