Individual provider Active NPI

Joanna Quach, OD

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1376389395
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002808 Issued in AZ
Practice address
650 East Indian School Road
Eye Clinic
Phoenix, AZ 85012-1839
Phone
(602) 277-5551
NPI assigned
Jul 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-002808 AZ Primary

Addresses

Primary practice location

650 East Indian School Road
Eye Clinic
Phoenix, AZ 85012-1839

Mailing address

500 W Camelback Rd Unit 228
Phoenix, AZ 85013-0004
Phone (347) 459-8251

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
I20250925003909 AZ Practitioner - Optometry 3173028545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors of Arizona PLLCGroup PAC ID 3870835044, 11 clinicians

Practice addresses (Care Compare)

515 W Buckeye Rd
Suite 104
Phoenix, AZ 85003-3699
Phone (602) 257-8280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-002808AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors of Arizona PLLC CurrentSince Jul 12, 2025 Accepting new patients
Warren H Heller MD PastSince Jul 12, 2025 Accepting new patients

Locations

10255 N 32nd St
Ste B
Phoenix, AZ 85028
Phone (602) 257-8280

20819 N Cave Creek Rd
Ste 102
Phoenix, AZ 85024
Phone (602) 257-8280

20819 N Cave Creek Rd
Phoenix, AZ 85024
Phone (602) 788-8080

3321 E Bell Rd
Ste B12
Phoenix, AZ 85032
Phone (602) 257-8280

3321 E Bell Rd
#B12
Phoenix, AZ 85032
Phone 6022578280 ext. 2

515 W Buckeye Rd
Ste 104
Phoenix, AZ 85003
Phone (602) 207-8196

Organizations & group practices 2

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": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1376389395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W CAMELBACK RD UNIT 228",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850130004",
            "telephone_number": "347-459-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 EAST INDIAN SCHOOL ROAD",
            "address_2": "EYE CLINIC",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121839",
            "telephone_number": "602-277-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUACH",
        "first_name": "JOANNA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.