Active NPI
Anthony Jon Drew, O.D.
- Optometrist
- San Tan Valley, AZ
National Provider Identifier
1659322568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT-002031
- Practice address
- 85 W Combs Rd Ste 108
San Tan Valley, AZ 85140-9107 - Phone
- (602) 239-4286
- Fax
- (602) 474-2324
- NPI assigned
- May 15, 2006
- Last updated
- Jun 20, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT-002031 | AZ | Primary |
Addresses
Primary practice location
85 W Combs Rd Ste 108
San Tan Valley, AZ 85140-9107
Mailing address
955 W Southern Ave Ste 101
Mesa, AZ 85210-4903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
85 W Combs Rd
Suite 108
San Tan Valley, AZ 85140-9107
Phone (602) 239-4286
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Moore, O.D., P.C. | Optometrist | Current | Accepting new patients |
| Nationwide Optometry P.C. | Optometrist | Past | Accepting new patients |
| Nationwide Optometry P.C. | Optometrist | Past | Accepting new patients |
| Nationwide Optometry P.C. | Optometrist | Past | Accepting new patients |
Locations
2545 NW Loop
Stephenville, TX 76401
Phone (254) 968-2345
Organizations & group practices 5
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1659322568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 W SOUTHERN AVE STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852104903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 W COMBS RD STE 108",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851409107",
"telephone_number": "602-239-4286",
"fax_number": "602-474-2324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREW",
"first_name": "ANTHONY",
"middle_name": "JON",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "OPT-002031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Tan Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.