Individual provider Active NPI

Vance Perry Lewis, O.D.

  • Optometrist
  • Avondale, AZ
National Provider Identifier
1578978805
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1989 Issued in AZ
Practice address
10485 W McDowell Rd Ste 103
Avondale, AZ 85392-4914
Phone
(480) 908-1001
Fax
(480) 908-1002
NPI assigned
Jun 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1989 AZ Primary

Addresses

Primary practice location

10485 W McDowell Rd Ste 103
Avondale, AZ 85392-4914

Mailing address

955 W Southern Ave Ste 101
Mesa, AZ 85210-4903
Phone (480) 961-1865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140718001817 AZ Practitioner - Optometry 4789800236 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nationwide Optometry P.C.Group PAC ID 6901033075, 54 clinicians

Practice addresses (Care Compare)

10485 W McDowell Rd
Suite 103
Avondale, AZ 85392-4914
Phone (480) 908-1001

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1989AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Experts on Sight - Mesa LLC Optometrist CurrentSince Sep 11, 2022 Accepting new patients
Barnet Dulaney Perkins Eye Center II PLLC CurrentSince Apr 1, 2021 Accepting new patients
Swagel-Wootton Eye Center, Inc CurrentSince Jul 1, 2023 Accepting new patients
Southwestern Eye Center, LTD Optometrist CurrentSince Apr 1, 2021 Accepting new patients
Swagel-Wootton Eye Center, Inc Optometrist CurrentSince Jul 1, 2023 Accepting new patients
Southwestern Eye Center LTD CurrentSince Apr 1, 2021 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Current Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Apr 1, 2021 Accepting new patients
Nationwide Optometry P.C. Optometrist Past Accepting new patients
Nationwide Optometry P.C. Optometrist PastSince Sep 1, 2022 Accepting new patients
Nationwide Optometry P.C. Optometrist Past Accepting new patients

Locations

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

560 N Camino Mercado
Ste 1
Casa Grande, AZ 85122
Phone (520) 426-9224

3940 S Alma School Rd
Ste 3
Chandler, AZ 85248
Phone (480) 641-3937

371 W Central Ave
Coolidge, AZ 85128
Phone (520) 723-3000

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

350 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 779-0500

3303 S Lindsay Rd
Ste 101
Gilbert, AZ 85297
Phone (480) 292-9835

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

220 S 63rd St
Mesa, AZ 85206
Phone (480) 641-3937

4800 N 22nd St
Phoenix, AZ 85016
Phone (602) 508-4843

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

4800 N 22nd St
Ste 210
Phoenix, AZ 85016
Phone (602) 598-7488

825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930

2370 W State Route 89A
Ste 16A17A18
Sedona, AZ 86336
Phone (928) 282-1231

14820 N Del Webb Blvd
Sun City, AZ 85351

698 E Wetmore Rd
Ste 100
Tucson, AZ 85705
Phone (520) 690-5707

5632 E 5th St
Tucson, AZ 85711
Phone (520) 584-8888

2149 W 24th St
Yuma, AZ 85364
Phone (928) 726-1100

Interoperability endpoints

  • Direct secure messaging: vance.lewis.p3@direct.keec.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1578978805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 W SOUTHERN AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852104903",
            "telephone_number": "480-961-1865",
            "fax_number": "480-893-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10485 W MCDOWELL RD STE 103",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924914",
            "telephone_number": "480-908-1001",
            "fax_number": "480-908-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "VANCE",
        "middle_name": "PERRY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-25",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.