Excel Vision PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

AZ824 Issued in AZ

Legal business name

EXCEL VISION PC

Practice address

5425 E Bell Rd.
Ste 135
Scottsdale, AZ 85254

Phone

(602) 404-2005

Fax

(602) 466-2336

NPI assigned

Jun 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gail Bass Derscheid, OD

Title

President Owner

Phone

(480) 620-5061

Specialties & licenses 1

Addresses

Other names 1

• Gail Bass OD Doing business as

Locations

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356048000000",
    "number": "1548465602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 E BELL RD",
            "address_2": "BLDG 5 SUITE 135",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546007",
            "telephone_number": "602-404-2005",
            "fax_number": "602-466-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 E BELL RD.",
            "address_2": "STE 135",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85254",
            "telephone_number": "602-404-2005",
            "fax_number": "602-466-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL VISION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2012-12-21",
        "status": "A",
        "authorized_official_last_name": "DERSCHEID",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "BASS",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "480-620-5061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "AZ824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gail Bass OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.