Organization Active NPI

Anew Vision Eye Specialists, PLLC

  • Ophthalmology Physician
  • Glendale, AZ
National Provider Identifier
1609279165
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
44857 Issued in AZ
Legal business name
ANEW VISION EYE SPECIALISTS, PLLC
Practice address
20325 N 51St Ave Ste 130
Glendale, AZ 85308-5677
Phone
(602) 459-7267
Fax
(602) 758-6075
NPI assigned
Sep 29, 2014
Last updated
Apr 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Authorized official

Name
Dr. Anuradha Paturi, MDNPI 1275733701
Title
Medical Director
Phone
(419) 787-2969

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 Physician 207W00000X 44857 AZ Primary

Addresses

Primary practice location

20325 N 51St Ave Ste 130
Glendale, AZ 85308-5677

Mailing address

20325 N 51St Ave Ste 130
Glendale, AZ 85308-5677
Phone (602) 459-7267

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150401000113 AZ Part B Supplier - Clinic/Group Practice 3072830033 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale, AZ

National Provider Directory

National Provider Directory

Locations

20325 N 51st Ave
Ste 130
Glendale, AZ 85308
Phone (419) 797-2969

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1609279165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20325 N 51ST AVE STE 130",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085677",
            "telephone_number": "602-459-7267",
            "fax_number": "602-759-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20325 N 51ST AVE STE 130",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085677",
            "telephone_number": "602-459-7267",
            "fax_number": "602-758-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANEW VISION EYE SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "PATURI",
        "authorized_official_first_name": "ANURADHA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "419-787-2969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "44857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.