Individual provider Active NPI

Ana Rebeca Paco de Matos Rego

  • Optometrist
  • Sun City West, AZ
National Provider Identifier
1619720281
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002880 Issued in AZ
Practice address
13920 W Camino del Sol Ste 6
Sun City West, AZ 85375-4438
Phone
(623) 584-1366
NPI assigned
Apr 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X OPT-002880 AZ Primary

Addresses

Primary practice location

13920 W Camino del Sol Ste 6
Sun City West, AZ 85375-4438

Mailing address

17028 W Cocopah St
Goodyear, AZ 85338-7356
Phone (678) 898-9292

Other practice location 1

42201 N 41st Dr Ste 128
Anthem, AZ 85086-3802
Phone (623) 551-9120

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
I20250902001670 AZ Practitioner - Optometry 9133620040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family in Focus PLLCGroup PAC ID 0345618690, 3 clinicians

Practice addresses (Care Compare)

42201 N 41St Dr
Suite B124
Anthem, AZ 85086-3800
Phone (623) 551-9211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family in Focus PLLC Optometrist CurrentSince Jul 1, 2025 Accepting new patients
Robert a. Harper Optometrist CurrentSince Jun 29, 2025 Accepting new patients

Locations

42201 N 41st Dr
Ste B124
Anthem, AZ 85086
Phone (623) 551-9122

13920 W Camino del Sol
Ste 6
Sun City West, AZ 85375
Phone (623) 584-1366

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1619720281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17028 W COCOPAH ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853387356",
            "telephone_number": "678-898-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13920 W CAMINO DEL SOL STE 6",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754438",
            "telephone_number": "623-584-1366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42201 N 41st Dr Ste 128",
            "address_purpose": "LOCATION",
            "city": "Anthem",
            "state": "AZ",
            "postal_code": "850863802",
            "country_code": "US",
            "telephone_number": "623-551-9120",
            "fax_number": "623-551-9122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REGO",
        "first_name": "ANA REBECA",
        "middle_name": "PACO DE MATOS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-11",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

Verify at the official NPI Registry.