Organization Active NPI

Phoenix Eye Care PLLC

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1629320288
Registry record updated Oct 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1029 Issued in AZ
Legal business name
PHOENIX EYE CARE PLLC
Practice address
3805 E Bell Rd
Ste 1800
Phoenix, AZ 85032-2105
Phone
(602) 549-2020
NPI assigned
Oct 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2012

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

Authorized official

Name
Dr. Shannon Lynn Steinhauser, ODNPI 1447255310
Title
Owner
Phone
(602) 370-1414

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1029 AZ Primary

Addresses

Primary practice location

3805 E Bell Rd
Ste 1800
Phoenix, AZ 85032-2105

Mailing address

15639 N 40TH PL
Phoenix, AZ 85032-4101
Phone (602) 370-1414

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130325000076 AZ Part B Supplier - Clinic/Group Practice 3870738727 Receives reassigned benefits from 3 practitioners
Practice locations: Phoenix, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2060777Phoenix Eye Care, PLLC3805 E Bell Rd Ste 1800, Phoenix, AZ 85032Certificate of waiverJun 17, 2027

National Provider Directory

National Provider Directory

Locations

3805 E Bell Rd
Ste 1800
Phoenix, AZ 85032
Phone (602) 549-2020

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349568000000",
    "number": "1629320288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15639 N 40TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324101",
            "telephone_number": "602-370-1414",
            "fax_number": "602-325-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 E BELL RD",
            "address_2": "STE 1800",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322105",
            "telephone_number": "602-549-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-07",
        "last_updated": "2012-10-07",
        "status": "A",
        "authorized_official_last_name": "STEINHAUSER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-370-1414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.