Salt River Eye Care, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1584 Issued in AZ

Legal business name

SALT RIVER EYE CARE, PLLC

Practice address

9015 E Pima Center Pkwy Ste 1
Scottsdale, AZ 85258-4615

Phone

(480) 278-7732

Fax

(480) 302-8703

NPI assigned

Oct 29, 2012

Organization subpart

No

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

Authorized official

Name

Andrea Lynn McMullen

Title

Admin

Phone

(480) 278-7732

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 5

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

• Henry Robert Jensen, OD

  • Optometrist
  • Scottsdale, AZ
  • NPI 1619669009
  Medicare reassignment Care Compare group NPD
• Taylor McMullen, O.D.

  • Optometrist
  • Scottsdale, AZ
  • NPI 1346430295
  Medicare reassignment Care Compare group NPD
• Elizabeth Madara, OD

  • Optometrist
  • Chandler, AZ
  • NPI 1568436087
  Medicare reassignment NPD
• Mark Jonathan Rubin, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Scottsdale, AZ
  • NPI 1376538496
  NPD
• Aaron Rodarte, PA-C

  • Medical Physician Assistant
  • Phoenix, AZ
  • NPI 1841458072
  NPD (past)

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1649524729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 E PIMA CENTER PKWY STE 1",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584615",
            "telephone_number": "480-278-7732",
            "fax_number": "480-302-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 E PIMA CENTER PKWY STE 1",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584615",
            "telephone_number": "480-278-7732",
            "fax_number": "480-302-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT RIVER EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-29",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "MCMULLEN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "480-278-7732"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salma Jesmin MD PLLC
• Sayea M Salmeron, CRNA
• Christopher James Salmon, MD
• Marcela Salomao, M.D.
• Glecille Ann Salonga, PHARMD
• Salt River Pima Maricopa Indian Community
• Salt River Pima Maricopa Indian Communtiy
• Salt River Pima-Maricopa Indian
• Salt River Pima-Maricopa Indian Community
• Salt River Pima-Maricopa Indian Community

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.