Prescott Eye Care & Surgical Center PC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

Legal business name

PRESCOTT EYE CARE & SURGICAL CENTER PC

Practice address

3192 Willow Creek Rd
Prescott, AZ 86301-6610

Phone

(928) 778-3950

Fax

(928) 778-3999

NPI assigned

Jan 30, 2006

Last updated

Feb 9, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Steven Worthen Mortenson, M.D.NPI 1962473595

Title

Ceo/ Medical Director

Phone

(928) 445-1234

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Worthen Mortenson, M.D.

  • Ophthalmology Physician
  • Prescott, AZ
  • NPI 1962473595
  Authorized official Same address or phone

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1437120334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3192 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863016610",
            "telephone_number": "928-778-3950",
            "fax_number": "928-778-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3192 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863016610",
            "telephone_number": "928-778-3950",
            "fax_number": "928-778-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCOTT EYE CARE & SURGICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "MORTENSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "WORTHEN",
        "authorized_official_title_or_position": "CEO/ MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "928-445-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prescott Concierge Care PLLC
• Prescott Dentistry, PLLC
• Prescott Detox Center, LLC
• Prescott Ear Nose & Throat PLLC
• Prescott Endodontic Associates PC
• Prescott Eye Care & Surgical Center, PC
• Prescott Family Chiropractic
• Prescott Family Medicine PLLC
• Prescott Family Practice and Wellness, LLC
• Prescott Foot & Ankle Clinic PC

• Ophthalmologic Surgery Clinic/Center in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Ophthalmologic Surgery Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.