Individual provider Active NPI

Kimberly Corriene Styles

  • Optician
  • Scottsdale, AZ
National Provider Identifier
1477347565
Registry record updated Apr 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
002716 Issued in AZ
Practice address
15355 N Northsight Blvd
Scottsdale, AZ 85260-2603
Phone
(480) 348-5655
NPI assigned
Apr 5, 2025
Last updated
Apr 5, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 002716 AZ Primary

Addresses

Primary practice location

15355 N Northsight Blvd
Scottsdale, AZ 85260-2603

Mailing address

15355 N Northsight Blvd
Scottsdale, AZ 85260-2603
Phone (480) 348-5655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
002716AZMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1743811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743811200000",
    "number": "1477347565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15355 N NORTHSIGHT BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602603",
            "telephone_number": "480-348-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15355 N NORTHSIGHT BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602603",
            "telephone_number": "480-348-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STYLES",
        "first_name": "KIMBERLY",
        "middle_name": "CORRIENE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-04-05",
        "last_updated": "2025-04-05",
        "certification_date": "2025-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "AZ",
            "license": "002716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2025; 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.