Organization Active NPI

Desert Eye PC

  • Point of Service
  • Tempe, AZ
National Provider Identifier
1477823219
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
1026 Issued in AZ
Legal business name
DESERT EYE PC
Practice address
3200 S Rural Rd Ste 1
Tempe, AZ 85282-3870
Phone
(480) 966-0522
Fax
(480) 966-0650
NPI assigned
Jan 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Dr. John Dugan Pearson, OD
Title
Owner/President
Phone
(480) 966-0522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 1026 AZ Primary

Addresses

Primary practice location

3200 S Rural Rd Ste 1
Tempe, AZ 85282-3870

Mailing address

3200 S Rural Rd Ste 1
Tempe, AZ 85282-3870
Phone (480) 966-0522

Other identifiers 2

IdentifierTypeStateIssuer
Z147459OtherAZPTAN
1922314905OtherAZNPI

Other names 1

  • Desert Eye Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Desert Eye PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3200 S Rural Rd
Ste 1
Tempe, AZ 85282
Phone (480) 966-0522

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1477823219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 S RURAL RD STE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823870",
            "telephone_number": "480-966-0522",
            "fax_number": "480-966-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S RURAL RD STE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823870",
            "telephone_number": "480-966-0522",
            "fax_number": "480-966-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT EYE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DUGAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "480-966-0522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "AZ",
            "license": "1026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z147459",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922314905",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Eye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.