Active NPI
Your Eyes Only Optical, PLLC
- Optometrist
- Chandler, AZ
National Provider Identifier
1497145254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 128
- Legal business name
- YOUR EYES ONLY OPTICAL, PLLC
- Practice address
- 2160 W Chandler Blvd Ste 19
Chandler, AZ 85224-6163 - Phone
- (480) 963-3221
- Fax
- (480) 812-8424
- NPI assigned
- Feb 2, 2015
- 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. Nicholas D Kowalczyk, OD
- Title
- Optometrist
- Phone
- (480) 963-3221
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 128 | AZ | Primary |
Addresses
Primary practice location
2160 W Chandler Blvd Ste 19
Chandler, AZ 85224-6163
Mailing address
2160 W Chandler Blvd Ste 19
Chandler, AZ 85224-6163
Phone (480) 963-3221
National Provider Directory
National Provider DirectoryLocations
2160 W Chandler Blvd
Ste 19
Chandler, AZ 85224
Phone (480) 963-3221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422835200000",
"number": "1497145254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 W CHANDLER BLVD STE 19",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852246163",
"telephone_number": "480-963-3221",
"fax_number": "480-812-8424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 W CHANDLER BLVD STE 19",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852246163",
"telephone_number": "480-963-3221",
"fax_number": "480-812-8424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUR EYES ONLY OPTICAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-02",
"last_updated": "2015-02-02",
"status": "A",
"authorized_official_last_name": "KOWALCZYK",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "480-963-3221",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "AZ",
"license": "128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.