Eyedeology Vision Center PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

998 Issued in AZ

Legal business name

EYEDEOLOGY VISION CENTER PLLC

Practice address

690 E Warner Rd Ste 128
Gilbert, AZ 85296-3057

Phone

(480) 248-6173

Fax

(480) 240-5972

NPI assigned

Sep 27, 2013

Last updated

Sep 27, 2013By 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. Karen Stonebraker Simon, ODNPI 1013134600

Title

Optometrist/Owner

Phone

(480) 248-6173

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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.

• Karen Stonebraker Simon, O.D.

  • Optometrist
  • Gilbert, AZ
  • NPI 1013134600
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1437586005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 E WARNER RD STE 128",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963057",
            "telephone_number": "480-248-6173",
            "fax_number": "480-240-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 E WARNER RD STE 128",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963057",
            "telephone_number": "480-248-6173",
            "fax_number": "480-240-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEDEOLOGY VISION CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "STONEBRAKER",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "480-248-6173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Experts on Sight
• Experts on Sight, LLC
• Express Veterinary Pharmacy, LLC
• Expressive Regulation Creative Therapy (Expressive Regulation)
• Eye Care Clinic P.C. (Val Vista Vision Center)
• Eyes Eyes Baby PLLC (Desert Iris Vision)
• Matilda Otang Eyong Epse Ebaietaka, PMHNP
• Veronica Ezop
• Mark Gregory Faber, DO
• Sean Faby, PT

• Optometrist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.