Elizabeth Hundelt, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

PENDING Issued in AZ

Practice address

4502 E Oak St
Phoenix, AZ 85008-2411

Phone

(602) 508-1689

Fax

(602) 952-7117

NPI assigned

Jun 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 23, 2018 through Jan 23, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Dr Elizabeth Hundelt PLLC Dba Generations Eyecare

  • Optometrist
  • Phoenix, AZ
  • NPI 1275306714
  NPD Authorized official

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496620800000",
    "number": "1669901534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3931 E GLENROSA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850184808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 E OAK ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850082411",
            "telephone_number": "602-508-1689",
            "fax_number": "602-952-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNDELT",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2017-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Humphrey
• Stephanie M Humphrey, LPC
• Mitchell R Humphreys, M.D.
• Marian Humphries, LPC
• Humura Care Center
• Tracy Tsui-Ying Hung, MD
• Peter W Hunger, MD
• Bridget Hungerford, PMHNP-BC, LMSW
• Kathleen Susan Hunnicutt, R.N.
• Joanne Julius Hunold, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.