Individual provider Active NPI

Callie Sincennes, OD

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1669360715
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002893 Issued in AZ
Practice address
15215 S 48TH St Ste 180
Phoenix, AZ 85044-9140
Phone
(480) 706-3937
NPI assigned
Jun 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-002893 AZ Primary

Addresses

Primary practice location

15215 S 48TH St Ste 180
Phoenix, AZ 85044-9140

Mailing address

2929 E Camelback Rd Ste 110
Phoenix, AZ 85016-4425

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251103001849 AZ Practitioner - Optometry 4385133974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark J. Page OD PCGroup PAC ID 4789672239, 3 clinicians

Practice addresses (Care Compare)

15215 S 48TH St
Suite 180
Phoenix, AZ 85044-9140
Phone (480) 330-0245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-002893AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark J. Page OD PC Optometrist CurrentSince Oct 15, 2025 Accepting new patients

Locations

15215 S 48th St
Ste 180
Phoenix, AZ 85044
Phone (480) 330-0245

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1669360715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 E CAMELBACK RD STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15215 S 48TH ST STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850449140",
            "telephone_number": "480-706-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINCENNES",
        "first_name": "CALLIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.