Elena Filatova, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

1936 Issued in AZ

Practice address

1423 S Higley Rd Ste 104
Mesa, AZ 85206-3449

Phone

(480) 985-0086

Fax

(480) 985-2153

NPI assigned

Sep 20, 2011

Last updated

May 15, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Expert Az Eyecare LLC

  dba Golden Hills Optical

  • Health Service Clinic/Center
  • Mesa, AZ
  • NPI 1962938498
  Medicare reassignment NPD Authorized official
• Dr. Simon Zmyslinski & Associates, P.L.L.C.

  • Optometrist
  • Phoenix, AZ
  • NPI 1710213434
  Medicare reassignment NPD
• MVP.Vision

  • Optometrist
  • Gilbert, AZ
  • NPI 1902445604
  NPD
• Samuel Soesbe, O.D., P.C.

  dba DBA Golden Hills Optical

  • Optometrist
  • Mesa, AZ
  • NPI 1861520017
  NPD (past)
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494806400000",
    "number": "1649553355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 S HIGLEY RD. SUITE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "480-985-0086",
            "fax_number": "480-985-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 S HIGLEY RD STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063449",
            "telephone_number": "480-985-0086",
            "fax_number": "480-985-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILATOVA",
        "first_name": "ELENA",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2017-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "638",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24986348",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE - OPTOMETRY",
            "identifier": "638",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fiesta Health Services LLC
• Fiesta Kids Dental LLC
• Fiesta Kidtastic, LLC (Fiesta Kidtastics)
• Fiesta Pediatric Therapy
• Rachelle Figueroa, NP
• Mary Eileen Filippone, LAC
• Jennifer Shea Fillmore, LMSW
• Paul Robert Fillmore, D.D.S.
• Janice Mae Finan
• Financial Health, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.