NPIMap

Organization Active NPI

Mark J. Page OD PC

Doing business as Arizona's Vision

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1629064761
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
802 Issued in AZ
Legal business name
MARK J. PAGE OD PC
Doing business as
Arizona's Vision
Practice address
15215 S 48TH St
#180
Phoenix, AZ 85044-9142
Phone
(480) 706-3937
Fax
(480) 706-4533
NPI assigned
Sep 23, 2005
Last updated
Oct 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Dr. Mark Joseph Page, ODNPI 1578561270
Title
President
Phone
(480) 706-3937

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
Optometrist 152W00000X 802 AZ Primary

Addresses

Primary practice location

15215 S 48TH St
#180
Phoenix, AZ 85044-9142

Mailing address

15215 S 48TH St
#180
Phoenix, AZ 85044-9142
Phone (480) 706-3937

Other names 1

  • Arizona's Vision Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040504000091 AZ Part B Supplier - Clinic/Group Practice 4789672239 Receives reassigned benefits from 8 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

15215 S 48th St
Ste 180
Phoenix, AZ 85044
Phone (480) 330-0245

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1629064761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15215 S 48TH ST",
            "address_2": "#180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850449142",
            "telephone_number": "480-706-3937",
            "fax_number": "480-706-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15215 S 48TH ST",
            "address_2": "#180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850449142",
            "telephone_number": "480-706-3937",
            "fax_number": "480-706-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J. PAGE OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-706-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona's Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.