Affiliated Eye Surgeons LTD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

AFFILIATED EYE SURGEONS LTD

Practice address

3330 N 2ND St Ste 600
Phoenix, AZ 85012-2395

Phone

(602) 263-9345

Fax

(602) 263-0778

NPI assigned

Nov 22, 2005

Organization subpart

No

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

Authorized official

Name

Raymond Joseph ZimmermanNPI 1639152911

Title

President

Phone

(602) 776-6722

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AFFILIATED EYE SURGEONS Former legal business name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raymond Joseph Zimmerman, M.D.

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1639152911
  Medicare reassignment NPD Authorized official
• E. Fredrick Bloemker, M.D.

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1225011505
  Medicare reassignment NPD
• Michael Lee Johnson, O.D.

  • Optometrist
  • Phoenix, AZ
  • NPI 1841304052
  Medicare reassignment NPD
• James J Koster, MD

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1851387344
  Medicare reassignment NPD
• George M Yanik, M.D.

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1205819489
  Medicare reassignment NPD

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559520000000",
    "number": "1457334641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 N 2ND ST STE 600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122395",
            "telephone_number": "602-263-9345",
            "fax_number": "602-263-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 N 2ND ST STE 600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122395",
            "telephone_number": "602-263-9345",
            "fax_number": "602-263-0778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Thomas Rd",
            "address_2": "SUITE # 250",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850134224",
            "country_code": "US",
            "telephone_number": "602-263-9345",
            "fax_number": "602-263-0778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AFFILIATED EYE SURGEONS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2019-06-03",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-776-6722"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CS2496",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFFILIATED EYE SURGEONS",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "AFFILIATED EYE SURGEONS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Ophthalmology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.