Individual provider Active NPI

Kim Earlene Strawn I

  • Optician
  • Avondale, AZ
National Provider Identifier
1417743774
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1014 Issued in AZ
Practice address
13055 W Rancho Santa Fe Blvd
Avondale, AZ 85392-1700
Phone
(623) 535-4215
NPI assigned
Apr 15, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 1014 AZ Primary

Addresses

Primary practice location

13055 W Rancho Santa Fe Blvd
Avondale, AZ 85392-1700

Mailing address

13055 W Rancho Santa Fe Blvd
Avondale, AZ 85392-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1014AZMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1417743774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13055 W RANCHO SANTA FE BLVD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13055 W RANCHO SANTA FE BLVD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921700",
            "telephone_number": "623-535-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAWN",
        "first_name": "KIM",
        "middle_name": "EARLENE",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "AZ",
            "license": "1014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.