Organization Active NPI

Arizona Pediatric Eye Specialists, PLC

  • Ophthalmology Physician
  • Mesa, AZ
National Provider Identifier
1477573913
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ARIZONA PEDIATRIC EYE SPECIALISTS, PLC
Practice address
1520 S Dobson Rd Ste 202
Mesa, AZ 85202-4726
Phone
(480) 835-0709
Fax
(480) 962-0523
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Authorized official

Name
Diane M Von Flue
Title
Cfo
Phone
(480) 615-2070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1520 S Dobson Rd Ste 202
Mesa, AZ 85202-4726

Mailing address

PO Box 16455
Mesa, AZ 85211-6455
Phone (480) 835-0709

National Provider Directory

National Provider Directory

Locations

13260 N 94th Dr
Ste 103
Peoria, AZ 85381
Phone (480) 264-4568

1920 E Cambridge Ave
#E203
Phoenix, AZ 85006

1920 E Cambridge Ave
Ste E100
Phoenix, AZ 85006

1919 E Thomas Rd
Ste 203
Phoenix, AZ 85016

20201 N Scottsdale Rd
#150
Scottsdale, AZ 85255

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/arizonaeye

Practitioners & affiliated clinicians

Practitioners 2

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": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1477573913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16455",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852116455",
            "telephone_number": "480-835-0709",
            "fax_number": "480-962-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S DOBSON RD STE 202",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024726",
            "telephone_number": "480-835-0709",
            "fax_number": "480-962-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA PEDIATRIC EYE SPECIALISTS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "VON FLUE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "480-615-2070"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.