Active NPI
Desert Eye PC
- Point of Service
- Tempe, AZ
National Provider Identifier
1477823219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- 1026
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z147459 | Other | AZ | PTAN |
| 1922314905 | Other | AZ | NPI |
Other names 1
- Desert Eye
National Provider Directory
National Provider Directory- Tax ID family
- Desert Eye PC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Tempe, AZ
- NPI 1548245293
-
- Optometrist
- Tempe, AZ
- NPI 1922314905
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.