Organization Active NPI

Avakian Stadtman Optometric PLLC

  • Optometrist
  • Chandler, AZ
National Provider Identifier
1518777903
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
AVAKIAN STADTMAN OPTOMETRIC PLLC
Practice address
7130 W Chandler Blvd Ste 19
Chandler, AZ 85226-3241
Phone
(480) 961-8999
NPI assigned
Jan 8, 2025
Last updated
Jan 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Dr. Anifa Avakian Stadtman, ODNPI 1396154456
Title
Owner
Phone
(480) 961-8999

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
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

7130 W Chandler Blvd Ste 19
Chandler, AZ 85226-3241

Mailing address

7130 W Chandler Blvd Ste 19
Chandler, AZ 85226-3241
Phone (480) 961-8999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250310001172 AZ Part B Supplier - Clinic/Group Practice 5395266159 Receives reassigned benefits from 1 practitioner
Practice locations: Chandler, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1518777903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 W CHANDLER BLVD STE 19",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263241",
            "telephone_number": "480-961-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 W CHANDLER BLVD STE 19",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263241",
            "telephone_number": "480-961-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVAKIAN STADTMAN OPTOMETRIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "AVAKIAN STADTMAN",
        "authorized_official_first_name": "ANIFA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-961-8999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "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 Jan 8, 2025; 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.