Organization Active NPI

Arizona Oculoplastic Specialists, PLLC

  • Ophthalmology Physician
  • Scottsdale, AZ
National Provider Identifier
1578714622
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
27072 Issued in AZ
Legal business name
ARIZONA OCULOPLASTIC SPECIALISTS, PLLC
Practice address
9431 E Ironwood Square Drive
Scottsdale, AZ 85258-3696
Phone
(480) 905-1010
NPI assigned
Oct 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Authorized official

Name
Ali Ghafouri, MDNPI 1598737892
Title
President
Phone
(480) 650-1386

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 27072 AZ Primary

Addresses

Primary practice location

9431 E Ironwood Square Drive
Scottsdale, AZ 85258-3696

Mailing address

9431 E Ironwood Square Drive
Scottsdale, AZ 85258-4572
Phone (480) 905-1010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090105000170 AZ Part B Supplier - Clinic/Group Practice 0648332411 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

4824 E Baseline Rd
Ste 102
Mesa, AZ 85206
Phone (480) 590-6940

14275 N 87th St
Scottsdale, AZ 85260
Phone (480) 518-5711

9431 E Ironwood Square Dr
Scottsdale, AZ 85258
Phone (480) 451-9220

14275 N 87th St
Ste 113
Scottsdale, AZ 85260
Phone (480) 518-5711

Practitioners & affiliated clinicians

Practitioners 1

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": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1578714622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9431 E IRONWOOD SQUARE DRIVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584572",
            "telephone_number": "480-905-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9431 E IRONWOOD SQUARE DRIVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583696",
            "telephone_number": "480-905-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA OCULOPLASTIC SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "GHAFOURI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-650-1386",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "27072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.