Individual provider Active NPI

Neha Amin Lacorte, O.D.

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1669458972
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1037 Issued in AZ
Practice address
3404 W Cheryl Dr Ste 180
Phoenix, AZ 85051-9500
Phone
(602) 863-2223
Fax
(602) 863-0156
NPI assigned
Dec 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1037 AZ Primary

Addresses

Primary practice location

3404 W Cheryl Dr Ste 180
Phoenix, AZ 85051-9500

Mailing address

3404 W Cheryl Dr
Suite 180
Phoenix, AZ 85051-9578
Phone (602) 863-2223

Other identifiers 2

IdentifierTypeStateIssuer
AZ0903170OtherAZBLUE CROSS BLUE SHIELD
491407MedicaidAZ

Other names 1

  • Neha Amin Lacorte Other name

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
I20100604000485 AZ Practitioner - Optometry 3375673171 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner - University Physician Specialists LLCGroup PAC ID 5991008054, 343 clinicians
Advanced Vision and Achievement Centers IncGroup PAC ID 8729064423, 2 clinicians

Practice addresses (Care Compare)

1320 N 10TH St
Suite B
Phoenix, AZ 85006-2710
Phone (602) 839-7285

3404 W Cheryl Dr
Suite 180
Phoenix, AZ 85051-9500
Phone (602) 863-2223

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
69.75
Promoting interoperability
98
Improvement activities
40
Cost
68.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1037AZMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Specialists Arizona LLC CurrentSince Sep 11, 2013 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Sep 11, 2013 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Jun 1, 2016 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Jun 1, 2016 Accepting new patients

Locations

120 E Main St
Ste A
Payson, AZ 85541
Phone (928) 474-9744

755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111

4200 E Camelback Rd
Ste 104
Phoenix, AZ 85018
Phone (602) 229-2110

1320 N 10th St
Ste B
Phoenix, AZ 85006
Phone (602) 631-3181

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

7400 N Dobson Rd
Ste 201
Scottsdale, AZ 85256
Phone (480) 733-7400

Organizations & group practices 6

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1669458972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 W CHERYL DR",
            "address_2": "SUITE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519578",
            "telephone_number": "602-863-2223",
            "fax_number": "602-863-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 W CHERYL DR STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519500",
            "telephone_number": "602-863-2223",
            "fax_number": "602-863-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACORTE",
        "first_name": "NEHA",
        "middle_name": "AMIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0903170",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "491407",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEHA",
            "last_name": "LACORTE",
            "middle_name": "AMIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.