Active NPI
Phoenix Optics, LLC
Doing business as My EyeLab
- Eyewear Supplier
- Glendale, AZ
National Provider Identifier
1679294078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- PHOENIX OPTICS, LLC
- Doing business as
- My EyeLab
- Practice address
- 5890 W Bell Rd Ste 101a
Glendale, AZ 85308-3884 - Phone
- (561) 275-2020
- Fax
- (561) 828-8367
- NPI assigned
- Sep 6, 2022
- Last updated
- Sep 7, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Garza
- Title
- Managed Care Director
- Phone
- (561) 720-6423
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
5890 W Bell Rd Ste 101a
Glendale, AZ 85308-3884
Mailing address
5890 W Bell Rd Ste 101a
Glendale, AZ 85308-3884
Phone (561) 275-2020
Other names 1
- My EyeLab
National Provider Directory
National Provider Directory- Tax ID family
- My Eyelab
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
5890 W Bell Rd
Ste 101A
Glendale, AZ 85308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662508800000",
"number": "1679294078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5890 W BELL RD STE 101A",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853083884",
"telephone_number": "561-275-2020",
"fax_number": "561-828-8367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5890 W BELL RD STE 101A",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853083884",
"telephone_number": "561-275-2020",
"fax_number": "561-828-8367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHOENIX OPTICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-06",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A",
"authorized_official_last_name": "GARZA",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "MANAGED CARE DIRECTOR",
"authorized_official_telephone_number": "561-720-6423"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "My EyeLab",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "My EyeLab",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Glendale, AZ
- Phoenix Medical Group, PC (PM Sleep Center)
- Phoenix Oasis Recovery Homes Inc. (Bridging the Hope Counseling Services)
- Phoenix Oasis Recovery Homes Inc.
- Phoenix Oasis Recovery Homes Inc.
- Phoenix Optics, LLC (My EyeLab)
- Phoenix Orthopaedic Consultants, P.C.
- Phoenix Psychological Services, P.C.
- Phoenix Wisdom Teeth, LLC (Wisdom Teeth Guys)
- Physical Therapy Solutions LLC (Physicians Physical Therapy Service)
- Physician Skin Solutions (Physician Skin at Arrowhead)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.