Darren Elg, O D LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

01100 Issued in AZ

Legal business name

DARREN ELG, O D LLC

Practice address

20715 E Ocotillo Rd
Ste 101
Queen Creek, AZ 85142-6118

Phone

(480) 987-3400

NPI assigned

Mar 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Darren E Elg, ODNPI 1437149069

Title

Doctor

Phone

(480) 987-3400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 6

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

• Darren Eugene Elg, OD

  • Optometrist
  • Queen Creek, AZ
  • NPI 1437149069
  Medicare reassignment Authorized official
• Kirk T Reed, O D

  • Optometrist
  • Queen Creek, AZ
  • NPI 1497735294
  NPD
• Clinton Lavar Huston, D.C.

  • Chiropractor
  • Chandler, AZ
  • NPI 1235171844
  NPD (past)
• Jeffrey Alan Jackson, O.D.

  • Optometrist
  • Casa Grande, AZ
  • NPI 1003014051
  NPD (past)
• Jason Porter Merrell, OD

  • Optometrist
  • Mesa, AZ
  • NPI 1861922601
  NPD (past)
• Jason Hugh Moulton, O.D.

  • Optometrist
  • Apache Junction, AZ
  • NPI 1841238565
  NPD (past)

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1407097413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20715 E OCOTILLO RD",
            "address_2": "STE 101",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426118",
            "telephone_number": "480-987-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20715 E OCOTILLO RD",
            "address_2": "STE 101",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426118",
            "telephone_number": "480-987-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARREN ELG, O D LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-20",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "ELG",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "480-987-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "01100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "619265",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennie Danielson, PHARM D
• Kellea Bell Danuser, NP
• Jeffrey Darling, PHARMD
• Ariel Darnall, DO
• Rose Darouiche, RN
• Daryn McClure, M.D., PC
• Dash Physical Therapy LLC
• Brian Jay Daub, DDS
• David Joel Beckstead, PHD, LLC
• Gabriella Davidson

• Optometrist in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.