Eye Care for Kids Arizona Chapter Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE CARE FOR KIDS ARIZONA CHAPTER INC

Practice address

6615 N 39TH Ave
Phoenix, AZ 85019-1334

Phone

(801) 285-5443

NPI assigned

Jul 30, 2019

Organization subpart

Yes

Parent organization

EYE CARE FOR KIDSAs reported in NPPES

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

Authorized official

Name

Mr. Joseph G Carbone, ABOC, NCLC

Title

Executive Director

Phone

(801) 285-5443

Specialties & licenses 4

Addresses

Other names 1

• Eye Care 4 Kids Doing business as

Part of

Eye Care for Kids

Practitioners 1

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

• Michael Green Thain, OD

  • Optometrist
  • Salt Lake City, UT
  • NPI 1356415434
  NPD

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564444800000",
    "number": "1639723471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 S STATE ST",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471239",
            "telephone_number": "801-285-5443",
            "fax_number": "801-255-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 N 39TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850191334",
            "telephone_number": "801-285-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE FOR KIDS ARIZONA CHAPTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE CARE FOR KIDS",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-07-30",
        "status": "A",
        "authorized_official_last_name": "CARBONE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-285-5443",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ABOC, NCLC"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "156FC0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FC0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Care 4 Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.