Individual provider Active NPI

Janice McKechnie-Lux, OD

  • Optometrist
  • Scottsdale, AZ
National Provider Identifier
1487237772
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
637 Issued in AZ
Practice address
15355 N Northsight Blvd
Scottsdale, AZ 85260-2603
Phone
(480) 348-5655
NPI assigned
May 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 637 AZ Primary

Addresses

Primary practice location

15355 N Northsight Blvd
Scottsdale, AZ 85260-2603

Mailing address

9844 E Miramonte Dr
Scottsdale, AZ 85262-3016
Phone (480) 488-6440

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
637AZMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1487237772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9844 E MIRAMONTE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852623016",
            "telephone_number": "480-488-6440"
        },
        {
            "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": "MCKECHNIE-LUX",
        "first_name": "JANICE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "637",
            "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 May 4, 2021; 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.