Organization Active NPI

Pecan Creek Eyecare LLC

  • Optometrist
  • San Tan Valley, AZ
National Provider Identifier
1477301414
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PECAN CREEK EYECARE LLC
Practice address
36351 N Gantzel Rd Ste 128
San Tan Valley, AZ 85140-7033
Phone
(480) 741-8822
Fax
(520) 636-1913
NPI assigned
May 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Authorized official

Name
Christopher C Carpenter, ODNPI 1538132311
Title
Owner/Doctor
Phone
(480) 741-8822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

36351 N Gantzel Rd Ste 128
San Tan Valley, AZ 85140-7033

Mailing address

36351 N Gantzel Rd Ste 128
San Tan Valley, AZ 85140-7033
Phone (480) 741-8822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241126003113 AZ Part B Supplier - Clinic/Group Practice 2860927951 Receives reassigned benefits from 1 practitioner
Practice locations: San Tan Valley, AZ

National Provider Directory

National Provider Directory

Locations

3336 E Chandler Heights Rd
#A
Gilbert, AZ 85298

36351 N Gantzel Rd
Ste 128
San Tan Valley, AZ 85140
Phone (480) 540-4056

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1477301414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36351 N GANTZEL RD STE 128",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407033",
            "telephone_number": "480-741-8822",
            "fax_number": "520-636-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36351 N GANTZEL RD STE 128",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407033",
            "telephone_number": "480-741-8822",
            "fax_number": "520-636-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PECAN CREEK EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "480-741-8822",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.