Active NPI
152W00000X - Optometrist North Phoenix Eye Care
- Optometrist
- Phoenix, AZ
National Provider Identifier
1649411018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- 152W00000X - OPTOMETRIST NORTH PHOENIX EYE CARE
- Practice address
- 19401 N Cave Creek Rd
#7
Phoenix, AZ 85024-1801 - Phone
- (623) 229-8185
- NPI assigned
- Mar 16, 2009
- Last updated
- Mar 16, 2009
- Organization subpart
- Yes
- Parent organization
- SUN CITY WEST EYE CARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donald Joseph Siegel, O.D.
- Title
- Optometrist/Owner
- Phone
- (623) 544-3877
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
19401 N Cave Creek Rd
#7
Phoenix, AZ 85024-1801
Mailing address
19401 N Cave Creek Rd
#7
Phoenix, AZ 85024-1801
Phone (623) 229-8185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 627713 | Medicaid | AZ |
National Provider Directory
National Provider Directory- Part of
- Sun City West Eye Care PLLC
Locations
19401 N Cave Creek Rd
Ste 7
Phoenix, AZ 85024
Phone (623) 229-8185
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Optometrist
- Sun City West, AZ
- NPI 1013016682
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.
-
- Optometrist
- Sun City West, AZ
- NPI 1912006669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237161600000",
"number": "1649411018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19401 N CAVE CREEK RD",
"address_2": "#7",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850241801",
"telephone_number": "623-229-8185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19401 N CAVE CREEK RD",
"address_2": "#7",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850241801",
"telephone_number": "623-229-8185"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "152W00000X - OPTOMETRIST NORTH PHOENIX EYE CARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUN CITY WEST EYE CARE",
"enumeration_date": "2009-03-16",
"last_updated": "2009-03-16",
"status": "A",
"authorized_official_last_name": "SIEGEL",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "OPTOMETRIST/OWNER",
"authorized_official_telephone_number": "623-544-3877",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "627713",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.