Organization Active NPI

Arizona Family Vision Center, P.C.

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1487781860
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1273 Issued in AZ
Legal business name
ARIZONA FAMILY VISION CENTER, P.C.
Practice address
2320 E Baseline Rd
Suite #145
Phoenix, AZ 85042-6951
Phone
(602) 243-9455
Fax
(602) 243-5888
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Isonelie Rodriguez-Torres, O.D.NPI 1538295159
Title
Optometrist
Phone
(602) 243-9455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1273 AZ Primary

Addresses

Primary practice location

2320 E Baseline Rd
Suite #145
Phoenix, AZ 85042-6951

Mailing address

2320 E Baseline Rd
Suite #145
Phoenix, AZ 85042-6951
Phone (602) 243-9455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050401000595 AZ Part B Supplier - Clinic/Group Practice 5092762021 Receives reassigned benefits from 3 practitioners
Practice locations: Laveen, AZ; Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

5150 W Baseline Rd
Ste 105
Laveen, AZ 85339
Phone (602) 243-9455

2320 E Baseline Rd
Ste 145
Phoenix, AZ 85042
Phone (602) 237-3545

Practitioners & affiliated clinicians

Practitioners 3

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": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487781860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 E BASELINE RD",
            "address_2": "SUITE #145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426951",
            "telephone_number": "602-243-9455",
            "fax_number": "602-243-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 E BASELINE RD",
            "address_2": "SUITE #145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426951",
            "telephone_number": "602-243-9455",
            "fax_number": "602-243-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA FAMILY VISION CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ-TORRES",
        "authorized_official_first_name": "ISONELIE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "602-243-9455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.