Individual provider Active NPI

Saba S Mottahed Peters

  • Optician
  • Cottonwood, AZ
National Provider Identifier
1598546475
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
LDO-003126 Issued in AZ
Practice address
401 S Calvary Way Ste B
Cottonwood, AZ 86326-4165
Phone
(602) 644-0266
NPI assigned
Oct 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X LDO-003126 AZ Primary

Addresses

Primary practice location

401 S Calvary Way Ste B
Cottonwood, AZ 86326-4165

Mailing address

401 S Calvary Way Ste B
Cottonwood, AZ 86326-4165
Phone (602) 644-0266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LDO-003126AZMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1598546475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S CALVARY WAY STE B",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264165",
            "telephone_number": "602-644-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S CALVARY WAY STE B",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264165",
            "telephone_number": "602-644-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTTAHED PETERS",
        "first_name": "SABA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "AZ",
            "license": "LDO-003126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.