Organization Active NPI

Dr. Guy T. McDougal and Associates, P.C.

  • Optometrist
  • Mesa, AZ
National Provider Identifier
1689627531
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
691 Issued in AZ
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Authorized official

Name
Dr. Guy T McDougal, ODNPI 1154374684
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.