Classic Eyes Incorporated

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CLASSIC EYES INCORPORATED

Practice address

5605 W Northern Ave
Glendale, AZ 85301-1332

Phone

(480) 823-0195

NPI assigned

Mar 6, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Craig C Goldman, D.O.NPI 1295778777

Title

President

Phone

(480) 823-0195

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Craig C Goldman, O.D.

  • Optometrist
  • Mesa, AZ
  • NPI 1295778777
  NPD Authorized official

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

{
    "created_epoch": "1614988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614988800000",
    "number": "1386239820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6980 E SAHUARO DR APT 2010",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545296",
            "telephone_number": "480-823-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 W NORTHERN AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011332",
            "telephone_number": "480-823-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC EYES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-06",
        "last_updated": "2021-03-06",
        "certification_date": "2021-03-06",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-823-0195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Clark Jr., D.C.
• D'Andre Clark
• Donica M Clark, MSW
• Karen D. Clark, M.A., CCC-SLP
• Marjada R Clark, RBT
• Jacqueline Claytor
• Clear Path Behavioral Health Services LLC
• Clear Stone Health Services
• Clearview Counseling, LLC
• Cori Lee Clemens-Romo, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2021; 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.