Individual provider Active NPI

Carey McNeill Shifrin, O.D.

  • Optometrist
  • Scottsdale, AZ
National Provider Identifier
1598706608
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1564 Issued in AZ
Practice address
9336E Raintree Dr 140
Scottsdale, AZ 85260-7323
Phone
(480) 614-0055
Fax
(480) 614-6393
NPI assigned
Jun 9, 2006
Last updated
Sep 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X I3-0001286 DE
Optometrist 152W00000X 1564 AZ Primary

Addresses

Primary practice location

9336E Raintree Dr 140
Scottsdale, AZ 85260-7323

Mailing address

307 E Southern Ave
Tempe, AZ 85282-5201
Phone (480) 967-4801

Other identifiers 1

IdentifierTypeStateIssuer
1564OtherAZSTATE BOARD OF OPTOMETRY-AZ

Other names 1

  • Dr. Carey Elizabeth McNeill Former name

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
I20080919000277 AZ Practitioner - Optometry 2365437332 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1564AZMDDentist
I3-0001286DEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
John H McDougall OD Arizona PC Optometrist CurrentSince Aug 28, 2018 Accepting new patients
Myeyedr Optometry of Washington, PLLC Optometrist PastSince Jan 23, 2026 Accepting new patients
Simon Eye Associates PA Optometrist PastSince Jul 1, 2003 Accepting new patients
Advanced Eye Care P a PastSince Dec 4, 2005 Accepting new patients
Eye Associates of Bucks County PastSince Sep 10, 2012 Accepting new patients

Locations

3900 W Ray Rd
Ste 1
Chandler, AZ 85226
Phone (480) 820-9880

13125 N La Montana Dr
Ste 1
Fountain Hls, AZ 85268
Phone (480) 816-0102

3592 S Atherton Blvd
Ste 111
Gilbert, AZ 85297
Phone (480) 580-6671

6666 W Peoria Ave
Ste 108
Glendale, AZ 85302
Phone (623) 979-8876

9336 E Raintree Dr
Ste 140
Scottsdale, AZ 85260
Phone (480) 614-0055

307 E Southern Ave
Tempe, AZ 85282
Phone (480) 967-4801

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442188800000",
    "number": "1598706608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E SOUTHERN AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825201",
            "telephone_number": "480-967-4801",
            "fax_number": "480-967-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9336E RAINTREE DR 140",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607323",
            "telephone_number": "480-614-0055",
            "fax_number": "480-614-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFRIN",
        "first_name": "CAREY",
        "middle_name": "MCNEILL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2015-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I3-0001286",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF OPTOMETRY-AZ",
            "identifier": "1564",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAREY",
            "last_name": "MCNEILL",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.