Paige McKenna Mohl, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-002702 Issued in AZ

Practice address

13340 N 94TH Dr
Peoria, AZ 85381-4236

Phone

(623) 977-8341

Fax

(623) 933-2952

NPI assigned

Jun 1, 2023

Last updated

Apr 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Plaza del Rio Eye Clinic PCGroup PAC ID 3971597667, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.45 of 100Reported as group

Quality

97.6

Promoting interoperability

97

Improvement activities

40

Cost

49.72

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GDBECD
• FHIR API: https://fhir4.healow.com/fhir/r4/GDBECD/Endpoint/GDBECD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Plaza del Rio Eye Clinic, PC

  • Ophthalmology Physician
  • Peoria, AZ
  • NPI 1215995949
  Medicare reassignment Care Compare group NPD
• Amanda Misinco, PLLC

  dba Optical Intuitions

  • Clinic/Center
  • Tempe, AZ
  • NPI 1730478389
  NPD (past)

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1407549660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23555 N DESERT PEAK PKWY APT 715",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850246314",
            "telephone_number": "907-887-9414",
            "fax_number": "623-933-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13340 N 94TH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814236",
            "telephone_number": "623-977-8341",
            "fax_number": "623-933-2952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 E Warner Rd Ste 9",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852844542",
            "country_code": "US",
            "telephone_number": "480-785-4804",
            "fax_number": "480-940-1832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHL",
        "first_name": "PAIGE",
        "middle_name": "MCKENNA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MMC Doc MD LLC
• Modern Sports Medicine LLC
• Sonya M. Mody, M.D.
• Mohamed Khirfan PLLC
• Mohammad Jamil PC (Icare Internal Medicine)
• Kevin Moler, LPC
• Kim Molina
• Moment of Truth Physical Therapy (Moment of Truth Healing Space)
• Momentum Massage, LLC
• Joshua A Mondlick, D.D.S.

• Optometrist in Peoria, AZ
• Providers in Peoria, 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, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.