Active NPI
Dr. Guy T. McDougal and Associates, P.C.
- Optometrist
- Mesa, AZ
National Provider Identifier
1689627531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 691
- Legal business name
- DR. GUY T. MCDOUGAL AND ASSOCIATES, P.C.
- Practice address
- 1121 S Gilbert Rd
Suite 103
Mesa, AZ 85204-5235 - Phone
- (480) 854-3310
- Fax
- (480) 854-1157
- NPI assigned
- May 19, 2006
- Last updated
- Oct 10, 2011
- 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
- Dr. Guy T McDougal, OD
- Title
- President
- Phone
- (480) 854-3310
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 691 | AZ | Primary |
Addresses
Primary practice location
1121 S Gilbert Rd
Suite 103
Mesa, AZ 85204-5235
Mailing address
3228 E Fountain St
Mesa, AZ 85213-5527
Phone (480) 854-3310
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Mesa, AZ
- NPI 1154374684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318204800000",
"number": "1689627531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3228 E FOUNTAIN ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852135527",
"telephone_number": "480-854-3310",
"fax_number": "480-854-1157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 S GILBERT RD",
"address_2": "SUITE 103",
"city": "MESA",
"state": "AZ",
"postal_code": "852045235",
"telephone_number": "480-854-3310",
"fax_number": "480-854-1157"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. GUY T. MCDOUGAL AND ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-19",
"last_updated": "2011-10-10",
"status": "A",
"authorized_official_last_name": "MCDOUGAL",
"authorized_official_first_name": "GUY",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-854-3310",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "AZ",
"license": "691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.