NPIMap

Organization Active NPI

Eyes on Mesa, PLLC

  • Optometrist
  • Mesa, AZ
National Provider Identifier
1588146146
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1973 Issued in AZ
Legal business name
EYES ON MESA, PLLC
Practice address
2048 E Baseline Rd
Mesa, AZ 85204-6969
Phone
(480) 632-5075
NPI assigned
Aug 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Authorized official

Name
Dr. Herlynne Martin, ODNPI 1215242300
Title
Owner
Phone
(440) 554-4915

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1973 AZ Primary

Addresses

Primary practice location

2048 E Baseline Rd
Mesa, AZ 85204-6969

Mailing address

3971 E Heather CT
Gilbert, AZ 85234-3210
Phone (440) 554-4915

National Provider Directory

National Provider Directory

Locations

2048 E Baseline Rd
Mesa, AZ 85204
Phone (480) 632-5075

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": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1588146146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3971 E HEATHER CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852343210",
            "telephone_number": "440-554-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2048 E BASELINE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046969",
            "telephone_number": "480-632-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES ON MESA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "HERLYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-554-4915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.