Individual provider Active NPI

Doreen Andrea NG, OD

  • Optometrist
  • Gilbert, AZ
National Provider Identifier
1376772848
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2087 Issued in AZ
Practice address
3592 S Atherton Blvd Ste 111
Gilbert, AZ 85297-7444
Phone
(480) 988-4131
NPI assigned
Jul 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2087 AZ Primary

Addresses

Primary practice location

3592 S Atherton Blvd Ste 111
Gilbert, AZ 85297-7444

Mailing address

3592 S Atherton Blvd Ste 111
Gilbert, AZ 85297-7444
Phone (480) 988-4131

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
I20151229002724 AZ Practitioner - Optometry 8921145889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John H McDougall OD Arizona PCGroup PAC ID 3274880117, 44 clinicians

Practice addresses (Care Compare)

3592 S Atherton Blvd
Suite 111
Gilbert, AZ 85297-7444
Phone (480) 988-4131

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2087AZMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
John H McDougall OD Arizona PC Optometrist CurrentSince Sep 22, 2019 Accepting new patients
Oasis Vision Center, P.C. Optometrist PastSince Sep 1, 2004 Accepting new patients
2020 Image Tempe Optometrist PastSince Oct 1, 2003 Accepting new patients

Locations

3900 W Ray Rd
Ste 1
Chandler, AZ 85226
Phone (480) 820-9880

13125 N La Montana Dr
Ste 1
Fountain Hls, AZ 85268
Phone (480) 816-0102

3592 S Atherton Blvd
Ste 1
Gilbert, AZ 85297
Phone (480) 214-2170

3592 S Atherton Blvd
Ste 111
Gilbert, AZ 85297
Phone (480) 580-6671

6666 W Peoria Ave
Ste 108
Glendale, AZ 85302
Phone (623) 979-8876

4838 E Baseline Rd
Ste 129
Mesa, AZ 85206
Phone (480) 892-6560

6239 E Brown Rd
Ste 113
Mesa, AZ 85205
Phone (480) 218-0663

9336 E Raintree Dr
Ste 140
Scottsdale, AZ 85260
Phone (480) 614-0055

307 E Southern Ave
Tempe, AZ 85282
Phone (480) 967-4801

1200 E Campbell Rd
Ste 108
Richardson, TX 75081
Phone (972) 370-5552

Organizations & group practices 3

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": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1376772848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3592 S ATHERTON BLVD STE 111",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977444",
            "telephone_number": "480-988-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3592 S ATHERTON BLVD STE 111",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977444",
            "telephone_number": "480-988-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "DOREEN",
        "middle_name": "ANDREA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-06",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.