NPIMap

Organization Active NPI

Desert Eye PC

  • Optometrist
  • Tempe, AZ
National Provider Identifier
1548245293
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1026 Issued in AZ
Legal business name
DESERT EYE PC
Practice address
3200 S Rural Rd
#1
Tempe, AZ 85282
Phone
(480) 966-0522
Fax
(480) 966-0650
NPI assigned
Dec 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
John Dugan Pearson, OD
Title
President
Phone
(480) 966-0522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1026 AZ Primary

Addresses

Primary practice location

3200 S Rural Rd
#1
Tempe, AZ 85282

Mailing address

3200 S Rural Rd
#1
Tempe, AZ 85282
Phone (480) 966-0522

Other identifiers 2

IdentifierTypeStateIssuer
49142301MedicaidAZ
Z147459OtherAZPTAN

Other names 1

  • Desert Family Eye Care PC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Desert Eye PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1548245293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 S RURAL RD",
            "address_2": "#1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85282",
            "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",
            "address_2": "#1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85282",
            "telephone_number": "480-966-0522",
            "fax_number": "480-966-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT EYE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DUGAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-966-0522",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49142301",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z147459",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Family Eye Care PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 6, 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.

Verify at the official NPI Registry.