Ocotillo Eyecare P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0748 Issued in AZ

Legal business name

OCOTILLO EYECARE P.C.

Practice address

3940 S Alma School Rd
Suite 5
Chandler, AZ 85248-4513

Phone

(480) 812-3937

NPI assigned

Jun 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Craig PowellNPI 1811924673

Title

President

Phone

(480) 812-3937

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Craig Powell, O.D.

  • Optometrist
  • Chandler, AZ
  • NPI 1811924673
  Medicare reassignment Care Compare group NPD Authorized official
• Andrea Barsness, O. D.

  • Optometrist
  • Mesa, AZ
  • NPI 1053336941
  Medicare reassignment Care Compare group NPD
• Alisha Rhea Fajardo-Diaz, O.D.

  • Optometrist
  • Chandler, AZ
  • NPI 1831328764
  Medicare reassignment Care Compare group NPD
• Sherri Ellen Horwitz, O.D.

  • Optometrist
  • Chandler, AZ
  • NPI 1760579551
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1376749135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1674 W YELLOWSTONE WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484867",
            "telephone_number": "480-786-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 S ALMA SCHOOL RD",
            "address_2": "SUITE 5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484513",
            "telephone_number": "480-812-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCOTILLO EYECARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-812-3937",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "0748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "120468",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ocotillo Chiropractic Center II PC (Ocotillo Chiropractic Center)
• Ocotillo Chiropractic Center PC (Ocotillo Chiropractic Center)
• Ocotillo Dental Care, PC
• Ocotillo Dentistry LLC
• Ocotillo Dermatology, PLLC
• Ocotillo Family Dentistry LLC (Ocotillo Family Dentistry)
• Ocotillo Foot and Ankle Centers, PLLC
• Ocotillo Health Centers, LLC
• Ocotillo Healthcare, Inc. (Chandler Post Acute)
• Ocotillo Internal Medicine Associates

• Optometrist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.