Active NPI
Kendra Eck, O.D.
- Optometrist
- Sun City, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1849
- Practice address
- 13041 N del Webb Blvd
Sun City, AZ 85351-3034 - Phone
- (623) 876-2314
- NPI assigned
- Mar 17, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1849 | AZ | Primary |
Addresses
Primary practice location
13041 N del Webb Blvd
Sun City, AZ 85351-3034
Mailing address
9069 W Thunderbird Rd
Peoria, AZ 85381-4412
Phone (623) 876-2314
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121207000438 | AZ | Practitioner - Optometry | 8921250424 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1849 | AZ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cigna Health Care of Arizona Inc. | Current | Accepting new patients | |
| Cigna Healthcare of Arizona, Inc. | Current | Accepting new patients | |
| Cigna Health Care of Arizona Inc. | Current | Accepting new patients | |
| Cigna Health Care of Arizona Inc. | Current | Accepting new patients |
Locations
1717 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 281-7565
5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600
1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500
9069 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 876-2800
3805 E Bell Rd
Ste 2100
Phoenix, AZ 85032
Phone (602) 404-5200
1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000
2302 N 75th Ave
Phoenix, AZ 85035
Phone (623) 849-7500
8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260
13041 N Del Webb Blvd
Sun City, AZ 85351
Phone (623) 977-7201
13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800
1920 E Baseline Rd
Tempe, AZ 85283
Phone (480) 345-5000
Organizations & group practices 4
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.
-
dba EVERNORTH Care Group Paradise Valley Multi-Specialty Center
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1619048048
-
dba EVERNORTH Care Group CJ Harris Multi-Specialty Center
- Multi-Specialty Clinic/Center
- Tempe, AZ
- NPI 1649341298
-
dba Clyde Wright Center, CMG Phx Central MultiSpec Cntr
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1942371679
-
dba EVERNORTH Care Group
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1073626404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498780800000",
"number": "1427323997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9069 W THUNDERBIRD RD",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814412",
"telephone_number": "623-876-2314",
"fax_number": "623-876-2802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13041 N DEL WEBB BLVD",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853513034",
"telephone_number": "623-876-2314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECK",
"first_name": "KENDRA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-17",
"last_updated": "2017-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "1849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.